Jennifer Annette Aeling, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP6442 Issued in MN

Practice address

500 E Veterans Street
MH Admin
Tomah, WI 54660

Phone

(608) 372-3971

Fax

(608) 372-3971

NPI assigned

Sep 15, 2014

Last updated

Oct 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1871994418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E VETERANS STREET",
            "address_2": "MH ADMIN",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "54660",
            "telephone_number": "608-372-3971",
            "fax_number": "608-372-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E VETERANS STREET",
            "address_2": "MH ADMIN",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "54660",
            "telephone_number": "608-372-3971",
            "fax_number": "608-372-3971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Campus Delivery",
            "address_2": "department 8010",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805230100",
            "country_code": "US",
            "telephone_number": "651-442-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AELING",
        "first_name": "JENNIFER",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Tomah, WI
• Providers in Tomah, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.