Active NPI
John Clemens Laney, PH.D.
- Health Service Psychologist
- Rice Lake, WI
National Provider Identifier
1912069626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 514
- Practice address
- 12 W Marshall St
Suite 100
Rice Lake, WI 54868-2741 - Phone
- (715) 234-3301
- Fax
- (715) 736-1301
- NPI assigned
- Dec 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 514 | WI | Primary |
Addresses
Primary practice location
12 W Marshall St
Suite 100
Rice Lake, WI 54868-2741
Mailing address
12 W Marshall St
Suite 100
Rice Lake, WI 54868-2741
Phone (715) 234-3301
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29144 | Other | WI | SECURITY HEALTH PLAN |
| 39059400 | Medicaid | WI | |
| 5066 | Other | WI | MARSHFIELD CLINIC |
| 81-285 | Other | WI | WPS |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 514 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912069626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 W MARSHALL ST",
"address_2": "SUITE 100",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548682741",
"telephone_number": "715-234-3301",
"fax_number": "715-736-1301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 W MARSHALL ST",
"address_2": "SUITE 100",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548682741",
"telephone_number": "715-234-3301",
"fax_number": "715-736-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANEY",
"first_name": "JOHN",
"middle_name": "CLEMENS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "WI",
"license": "514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURITY HEALTH PLAN",
"identifier": "29144",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39059400",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARSHFIELD CLINIC",
"identifier": "5066",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS",
"identifier": "81-285",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rice Lake, WI
- Lakeview Medical Center Inc of Rice Lake (Marshfield Medical Center - Rice Lake Outreach Services)
- Lakeview Medical Center Inc of Rice Lake (Marshfield Medical Center - Rice Lake)
- Lakeview Medical Center, Inc. of Rice Lake ((INACTIVE)LMC Club House PT, OT)
- Alisa Kay Lammers
- John Lancette, MS CCCA
- Jeanne M Larson, PHARMD.
- Robert D Lefsrud, MD
- Kelly Lehnherr, RN
- Margaret Link, DO
- Gregory Linton, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.