PSYCH AFFILIATES INC
NPI 1417605197
Nurse Practitioner - Psychiatric/Mental Health in Mequon, WI

Active since March 12, 2022
11431 N PORT WASHINGTON RD STE 101B, MEQUON, WI 53092(414) 502-7216 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2024, Mar 12, 2022 (2 updates tracked since 2022).

About Psych Affiliates Inc NPPES

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

PSYCH AFFILIATES INC (NPI 1417605197) is a healthcare organization registered as a psychiatric/mental health in Mequon, Wisconsin and active in the NPI registry since March 2022. The organization lists Dennis Lee Kochanik, President, as its authorized official.

NPPES Registry Identity

NPI1417605197
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePSYCH AFFILIATES INC
Location Address11431 N PORT WASHINGTON RD STE 101BMequon, WI 53092-3463
Mailing Address11431 N Port Washington Rd Ste 101bMequon, WI 53092-3463 · (267) 699-8834
Organization SubpartNo
Authorized OfficialDennis Lee KochanikPresident · (414) 502-7216
Enumeration DateMarch 12, 2022
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
NPI 1417605197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse PractitionerTaxonomy 363L00000X
11431 N PORT WASHINGTON RD STE 101B, Mequon, WI 53092

Other Identifiers 1

Medicaid100190462WI

Group Practice 2

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
11431 N PORT WASHINGTON RD STE 101B
MEQUON, WI 53092

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 Psych Affiliates Inc's NPI number?

The NPI number for Psych Affiliates Inc is 1417605197. It was assigned to this organization in the NPPES registry on March 12, 2022.

Where is Psych Affiliates Inc located?

Psych Affiliates Inc is located at 11431 N Port Washington Rd Ste 101B, Mequon, WI 53092. The listed phone number is (414) 502-7216.

What is Psych Affiliates Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Psych Affiliates Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Psych Affiliates Inc 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 Psych Affiliates Inc was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.