npidexNPI registry + Medicare data

JEANNE HERZOG, PHD

Psychologist · ELM GROVE, WI

Individual Active Opted out of Medicare NPI 1124173133

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Psychologist103T00000X✓2176057WI
Clinical Psychologist103TC0700X2176-57WI

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2013-05-01 through 2027-05-01.

Other Psychologist providers in Wisconsin

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.