Active NPI
Erin M Van Oss, PHD, NCSP
- Psychologist
- Shawano, WI
National Provider Identifier
1912493214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5080-57
- Practice address
- N6915 River Dr
Shawano, WI 54166-4222 - Phone
- (715) 600-3275
- NPI assigned
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 912-58 | WI | |
| Psychologist | 103T00000X | 5080-57 | WI | Primary |
Addresses
Primary practice location
N6915 River Dr
Shawano, WI 54166-4222
Mailing address
N6915 River Dr
Shawano, WI 54166-4222
Phone (715) 600-3275
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 912-58 | WI | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688169600000",
"number": "1912493214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N6915 RIVER DR",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541664222",
"telephone_number": "715-600-3275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N6915 RIVER DR",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541664222",
"telephone_number": "715-600-3275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN OSS",
"first_name": "ERIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD, NCSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2023-07-01",
"certification_date": "2023-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WI",
"license": "912-58",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "5080-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawano, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2023; 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.