Active NPI
John Thomas Parkhurst, PHD
- Psychologist
- Milwaukee, WI
National Provider Identifier
1740535178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 9000 W Wisconsin Ave
Child Psychiatry Dept
Milwaukee, WI 53226-4874 - Phone
- (414) 266-2932
- Fax
- (414) 266-3735
- NPI assigned
- Jul 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | WI | Primary |
Addresses
Primary practice location
9000 W Wisconsin Ave
Child Psychiatry Dept
Milwaukee, WI 53226-4874
Mailing address
9000 W Wisconsin Ave
Ms 958
Milwaukee, WI 53226-4874
Phone (414) 266-7615
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3187-57 | Other | WI | LICENSE |
| 470376606-31 | Medicaid | NE | |
| 100261397-00 | Medicaid | NE | |
| 1740435178 | Medicaid | WI | |
| 470376606-24 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1740535178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "MS 958",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-7615",
"fax_number": "414-266-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "CHILD PSYCHIATRY DEPT",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-2932",
"fax_number": "414-266-3735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKHURST",
"first_name": "JOHN",
"middle_name": "THOMAS",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-23",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "3187-57",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470376606-31",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100261397-00",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740435178",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470376606-24",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.