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DR. THEONI H CALVERT PSY.D.
NPI 1346258498
Psychologist - Clinical in Mequon, WI

Active since August 04, 2006PECOS Enrolled
11649 N PORT WASHINGTON RD, STE 201, MEQUON, WI 53092(262) 789-1191(262) 478-0030 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Theoni H Calvert Psy.d. NPPES

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

DR. THEONI H CALVERT PSY.D. (NPI 1346258498) is an individual clinical provider in Mequon, Wisconsin, licensed in Wisconsin (2604-57) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346258498
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. THEONI H CALVERTCredential: PSY.D.
Location Address11649 N PORT WASHINGTON RD, STE 201Mequon, WI 53092-3459
Mailing Address16535 W Bluemound Rd, Suite 200Brookfield, WI 53005-5936
Phone(262) 789-1191
Fax(262) 478-0030
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateFebruary 20, 2018
✔ NPI 1346258498 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 · 2604-57
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.

11649 N PORT WASHINGTON RD, Mequon, WI 53092
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theoni H Calvert Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

ENDEAVOR THERAPY LLC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
11649 N PORT WASHINGTON RD, STE 109
MEQUON, WI 53092
Ozaukee County (262) 241-8892
MONIKA MARIA DE ARTEAGA PT
Physical Therapist
11649 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (262) 241-8022
MISS ANDREA LYNN WROBLEWSKI
Specialist/Technologist, Other (Electroneurodiagnostic)
11649 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (262) 241-8022
MRS. KAREN IRENE BLOCK CRT
Respiratory Therapist, Registered (SNF/Subacute Care)
11649 N PORT WASHINGTON RD, #109
MEQUON, WI 53092
Ozaukee County (262) 241-8022
MRS. MELISSA IRENE IZZARD RRT
Respiratory Therapist, Registered (SNF/Subacute Care)
11649 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (262) 241-8892
MR. MATTHEW JOSEPH BAUCOM RPSGT
Specialist/Technologist, Other (Electroneurodiagnostic)
11649 N PORT WASHINGTON RD, STE 109
MEQUON, WI 53092
Ozaukee County (262) 241-8022
DR. STEPHAN B. RYAN AU.D. CCC-A
Audiologist
11649 N PORT WASHINGTON RD, AUDIOLOGY HEARING CLINIC OF MEQUON LLC
MEQUON, WI 53092
Ozaukee County (262) 241-3144
AUDIOLOLGY HEARING CLINIC OF MEQUON LLC
Clinic/Center (Hearing and Speech)
11649 N PORT WASHINGTON RD, SUITE 105
MEQUON, WI 53092
Ozaukee County (262) 241-3144

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 Theoni Calvert's NPI number?

The NPI number for Theoni Calvert is 1346258498. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Theoni Calvert located?

Theoni Calvert practices at 11649 N Port Washington Rd Ste 201, Mequon, WI 53092. The listed phone number is (262) 789-1191.

What is Theoni Calvert's specialty?

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

Is Theoni Calvert enrolled in Medicare?

Yes. Theoni Calvert is registered in the Medicare PECOS enrollment system.

What insurance does Theoni Calvert accept?

Health plans from CareSource (Common Ground Healthcare) list Theoni Calvert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theoni Calvert was last updated on February 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.