HEALTHCARE PSYCHOLOGY CONSULTANTS LLC
NPI 1063532380
Psychologist - Clinical in Shorewood, WI

Active since March 30, 2007
4447 N OAKLAND AVE, SHOREWOOD, WI 53211(414) 431-4322(414) 431-4323 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Healthcare Psychology Consultants Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHCARE PSYCHOLOGY CONSULTANTS LLC (NPI 1063532380) is a healthcare organization registered as a clinical in Shorewood, Wisconsin and active in the NPI registry since March 2007. The organization lists Michael Luther Jorn, Clinical Psychologist Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1063532380
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameHEALTHCARE PSYCHOLOGY CONSULTANTS LLC
Location Address4447 N OAKLAND AVEShorewood, WI 53211
Mailing Address1110 N Old World 3rd St Ste 410Milwaukee, WI 53203-1121 · (414) 431-4322 · Fax (414) 431-4323
Fax(414) 431-4323
Organization SubpartNo
Authorized OfficialMichael Luther JornClinical Psychologist Sole Owner · (414) 431-4322
Enumeration DateMarch 30, 2007
Last NPPES UpdateDecember 4, 2014
✔ NPI 1063532380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WI · 1912
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4447 N OAKLAND AVE, Shorewood, WI 53211

Other Identifiers 3

Medicare ID-Type Unspecified000001208
Medicaid39113800WI
Medicare UPINS21313

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthcare Psychology Consultants Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Healthcare Psychology Consultants LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1073568697
4447 N OAKLAND AVE
Shorewood, WI 53211
(414) 431-4322
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthcare Psychology Consultants LLC's NPI number?

The NPI number for Healthcare Psychology Consultants LLC is 1063532380. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Healthcare Psychology Consultants LLC located?

Healthcare Psychology Consultants LLC is located at 4447 N Oakland Ave, Shorewood, WI 53211. The listed phone number is (414) 431-4322.

What is Healthcare Psychology Consultants LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Healthcare Psychology Consultants LLC enrolled in Medicare?

Yes. Healthcare Psychology Consultants LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthcare Psychology Consultants LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Healthcare Psychology Consultants LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Healthcare Psychology Consultants LLC was last updated on December 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.