South Street Clinic Llc

ActiveOrganizationClinical Psychologist
NPI issued: October 20, 2005

Quick Facts

NPI Number
1235128356
TypeOrganization
StatusActive
SpecialtyClinical Psychologist
Taxonomy103TC0700X — Clinical Psychologist
Phone
(262) 567-7673
StateWI

NPI Validation Status: Verified

Valid 10-digit NPI number (1235128356)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (October 20, 2005)
Data source: CMS NPPES

Provider Overview

SOUTH STREET CLINIC LLC is a Clinical Psychologist provider based in Oconomowoc, WI who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1235128356
Provider TypeOrganization
StatusActive
Enumeration DateOctober 20, 2005

Practice Location

CityOconomowoc
StateWI
ZIP Code53066-2755
Phone(262) 567-7673

Specialties & Licenses

★ Primary
SpecialtyClinical Psychologist
Taxonomy Code103TC0700X
License StateWI

Mailing Address

CityOconomowoc
StateWI
ZIP Code53066-2755
Phone(262) 567-7673
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1235128356 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1235128356for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1235128356 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Clinical Psychologist

Specialists in Clinical Psychologist provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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75,968
Clinical Psychologist Providers in the US

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People Also Ask

What is South Street Clinic Llc's NPI number?
South Street Clinic Llc's NPI number is 1235128356, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is South Street Clinic Llc's NPI currently active?
Yes, South Street Clinic Llc's NPI status is Active as of the latest CMS NPPES database updates.
What does South Street Clinic Llc specialize in?
South Street Clinic Llc specializes in Clinical Psychologist. The healthcare taxonomy code associated with this specialty is 103TC0700X.
Where does South Street Clinic Llc practice?
South Street Clinic Llc practices in Oconomowoc, WI 53066-2755.
When was South Street Clinic Llc's NPI issued?
South Street Clinic Llc's NPI was issued on October 20, 2005.
What is South Street Clinic Llc's provider type?
South Street Clinic Llc is registered as an Organization under CMS NPI Type 2.