Individual provider Active NPI

Dean B Saner, PSYD

  • Psychologist
  • Viroqua, WI
National Provider Identifier
1952448946
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2089057 Issued in WI
Practice address
122 W South St
Viroqua, WI 54665-0206
Phone
(608) 637-2511
Fax
(608) 637-7921
NPI assigned
Jan 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2089057 WI Primary

Addresses

Primary practice location

122 W South St
Viroqua, WI 54665-0206

Mailing address

PO Box 206
122 W South St
Viroqua, WI 54665-0206
Phone (608) 637-2511

Other identifiers 1

IdentifierTypeStateIssuer
39753300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050714000826 WI Practitioner - Clinical Psychologist 5193751782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Psychiatric Associates Counseling Center LLCGroup PAC ID 9739353889, 2 clinicians
County of RichlandGroup PAC ID 2264335355, 3 clinicians

Practice addresses (Care Compare)

122 W S St
Viroqua, WI 54665-1943
Phone (608) 637-2511

221 W Seminary St
Richland Center, WI 53581-2358
Phone (608) 647-8821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2089057WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Richland CurrentSince Jun 14, 2023 Accepting new patients
County of Richland CurrentSince Jun 14, 2023 Accepting new patients
County of Sauk Past Accepting new patients

Locations

221 W Seminary St
Richland Ctr, WI 53581
Phone (608) 647-8821

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952448946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "address_2": "122 W SOUTH ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546650206",
            "telephone_number": "608-637-2511",
            "fax_number": "608-637-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W SOUTH ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546650206",
            "telephone_number": "608-637-2511",
            "fax_number": "608-637-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANER",
        "first_name": "DEAN",
        "middle_name": "B",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2089057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39753300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Viroqua, WI

Sources for this page

Verify at the official NPI Registry.