Jeffrey M Washelesky, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3957-57 Issued in WI

Practice address

5607 Summer Shine Dr
Madison, WI 53718-9174

Phone

(608) 301-5648

NPI assigned

Aug 7, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1982387031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8701",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537088701",
            "telephone_number": "608-301-5648",
            "fax_number": "608-420-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 SUMMER SHINE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537189174",
            "telephone_number": "608-301-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHELESKY",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "WI",
            "license": "3957-57",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3957-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel S Warrich, LMFT-IT
• Trista N Warrich, MFT
• Warsan Home Health LLC
• Rebecca Warwick, MD
• Shelby Washburn, LPC, ATR-P
• Clinisha Washington
• Kerry Beth Washington
• Tamara Washington
• Water Tiger Psychotherapy, LLC
• Julie M Waterdu, LMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.