PSYCH MED MANAGEMENT LLC
NPI 1376941963
Community/Behavioral Health in Thiensville, WI

NPI Status: Active since December 12, 2014

Contact Information

140 S MAIN ST
THIENSVILLE, WI
ZIP 53092
Phone: (262) 402-7964
Fax: (262) 261-5062

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance

About PSYCH MED MANAGEMENT LLC

This page provides the complete NPI Profile along with additional information for Psych Med Management Llc, a provider established in Thiensville, Wisconsin operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1376941963 assigned on December 2014. The practitioner's primary taxonomy code is 251S00000X with license number 3319-33 (WI). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Ms. Therese Jaeckle Apnp (Owner)

NPI
1376941963
Provider Name
PSYCH MED MANAGEMENT LLC
Entity Type
Organization
Location Address
140 S MAIN ST THIENSVILLE, WI 53092
Location Phone
(262) 402-7964
Location Fax
(262) 261-5062
Mailing Address
140 S MAIN ST THIENSVILLE, WI 53092
Mailing Phone
(262) 402-7964
Mailing Fax
(262) 261-5062
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2014
Last Update Date
12-12-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
3319-33
License State
WI
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. THERESE JAECKLE APNP

Authorized Official Title
OWNER
Authorized Official Phone
(414) 530-1878

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1063696516MEDICAID (05)WI 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376941963, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 1 + 8 + 4 + 2 + 9 + 1 + 2 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1376941963.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Internal Medicine
140 S MAIN ST
THIENSVILLE, WI 53092
Community/Behavioral Health
140 S MAIN ST
THIENSVILLE, WI 53092
Family Medicine
140 S MAIN ST
THIENSVILLE, WI 53092

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376941963, enumerated as an "organization" on December 12, 2014.

The provider is located at 140 S MAIN ST THIENSVILLE, WI 53092 and the phone number is (262) 402-7964.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.