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NPI · 1235128356 · NPPES-sourced

South Street Clinic LLC

ActiveClinical Psychologist
NPI Number
1235128356
Type 2 · Organisation
Taxonomy Code
103TC0700X
Contact
(262) 567-7673
License WI · 1841
Last Updated
About 5 years ago (Aug 2020)
Enumerated 2005-10-20
Primary practice addressWI · 53066-2755
416 W South StOconomowoc, WI 53066-2755
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About this NPIWhat this record shows.

NPI 1235128356 is registered to South Street Clinic LLC, a healthcare organisation classified as "Clinical Psychologist" and located at 416 W South St in Oconomowoc, Wisconsin. The organisation's authorised official is Anne Weston. The organisation has been enumerated in the NPI registry since 2005.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2005-10-20
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans South Street Clinic LLC accepts. To confirm in-network status with your specific health plan, contact South Street Clinic LLC directly at (262) 567-7673.

Frequently asked

Yes. NPI 1235128356 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (262) 567-7673.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. South Street Clinic LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy103TC0700X
Last updated2020-08
Enumerated2005-10-20
StatusActive
Partneri
partner offer
Tools for healthcare teams.
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1 record · same addressOther providers at this location.

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Same specialtyOther Clinical Psychologist providers in Wisconsin.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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