NORTHLAND COMMUNITY SERVICES INC
NPI 1700839644
Psychologist - Clinical in Westfield, WI

Q: What is Northland Community Services Inc's NPI number?

The NPI number for Northland Community Services Inc is 1700839644. It was assigned to this organization in the NPPES registry on May 19, 2006.

Q: What is Northland Community Services Inc's specialty?

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

Active since May 19, 2006

161 SPRING ST, WESTFIELD, WI 53964(608) 296-2139(608) 296-1590 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Northland Community Services Inc NPPES

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

NORTHLAND COMMUNITY SERVICES INC (NPI 1700839644) is a healthcare organization registered as a clinical in Westfield, Wisconsin and active in the NPI registry since May 2006. The organization lists Jon S Matthew, Director, as its authorized official.

NPPES Registry Identity

NPI1700839644

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameNORTHLAND COMMUNITY SERVICES INC

Location Address161 SPRING STWestfield, WI 53964-9068

Mailing Address161 Spring St, Po Box 248Westfield, WI 53964-9068 · (608) 296-2139 · Fax (608) 296-1590

Phone(608) 296-2139

Fax(608) 296-1590

Organization SubpartNo

Authorized OfficialJon S MatthewDirector · (608) 296-2139

Enumeration DateMay 19, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1700839644 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 · 822

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.

161 SPRING ST, Westfield, WI 53964

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Other Identifiers 1

Medicaid42119500WI

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

Other Providers at the Same Location NPPES 8

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

JASON JEROME

Counselor (Mental Health)