FOND DU LAC PSYCHIATRY LLC
NPI 1144466608
Clinic/Center - Medical Specialty in Fond Du Lac, WI

Active since January 05, 2009
1020 S MAIN ST, SUITE A, FOND DU LAC, WI 54935(920) 923-9054(920) 322-9193 Get Directions Write a Review

NPPES record last updated: January 5, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fond Du Lac Psychiatry Llc NPPES

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

FOND DU LAC PSYCHIATRY LLC (NPI 1144466608) is a healthcare organization registered as a medical specialty in Fond Du Lac, Wisconsin and active in the NPI registry since January 2009. The organization lists Jeffrey Thomas Junig, Owner, as its authorized official.

NPPES Registry Identity

NPI1144466608
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameFOND DU LAC PSYCHIATRY LLC
Location Address1020 S MAIN ST, SUITE AFond Du Lac, WI 54935-6102
Mailing Address1020 S Main St, Suite AFond Du Lac, WI 54935-6102 · (920) 923-9054 · Fax (920) 322-9193
Fax(920) 322-9193
Organization SubpartNo
Authorized OfficialJeffrey Thomas JunigOwner · (920) 923-9054
Enumeration DateJanuary 5, 2009
NPI 1144466608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in WI · 32668-020
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1020 S MAIN ST, Fond Du Lac, WI 54935

Other Identifiers 2

Medicare UPINF05700WI
Medicaid31769900WI

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
1020 S MAIN ST
FOND DU LAC, WI 54935
Counselor (Professional)
1020 S MAIN ST
FOND DU LAC, WI 54935

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 Fond Du Lac Psychiatry LLC's NPI number?

The NPI number for Fond Du Lac Psychiatry LLC is 1144466608. It was assigned to this organization in the NPPES registry on January 5, 2009.

Where is Fond Du Lac Psychiatry LLC located?

Fond Du Lac Psychiatry LLC is located at 1020 S Main St Suite A, Fond Du Lac, WI 54935. The listed phone number is (920) 923-9054.

What is Fond Du Lac Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Fond Du Lac Psychiatry LLC was last updated on January 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.