MATTHEW DAVID JANDRISEVITS PH.D.
NPI 1740477751
Psychologist in Milwaukee, WI

Active since October 03, 2007PECOS Enrolled
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 266-2932(414) 266-3735 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew David Jandrisevits Ph.d. NPPES

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

MATTHEW DAVID JANDRISEVITS PH.D. (NPI 1740477751) is an individual psychologist in Milwaukee, Wisconsin, licensed in Wisconsin (2678057) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740477751
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMATTHEW DAVID JANDRISEVITSCredential: PH.D.
Location Address9000 W WISCONSIN AVEMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874 · (414) 266-2932 · Fax (414) 266-3735
Fax(414) 266-3735
Sole ProprietorNo
Enumeration DateOctober 3, 2007
Last NPPES UpdateMay 7, 2021
NPPES CertifiedMay 7, 2021
NPI 1740477751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 2678057
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
9000 W WISCONSIN AVE, Milwaukee, WI 53226

Other Identifiers 1

Medicaid1740477751WI

Accepted 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)

Matthew David Jandrisevits Ph.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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226

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 Matthew Jandrisevits's NPI number?

The NPI number for Matthew Jandrisevits is 1740477751. It was assigned to this individual provider in the NPPES registry on October 3, 2007.

Where is Matthew Jandrisevits located?

Matthew Jandrisevits practices at 9000 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 266-2932.

What is Matthew Jandrisevits's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Matthew Jandrisevits enrolled in Medicare?

Yes. Matthew Jandrisevits is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Jandrisevits accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica and 2 other insurers list Matthew Jandrisevits 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 Matthew Jandrisevits was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.