Jmd, Psychology, LLC
NPI 1013516905ActiveOrganization· Psychologist, Counseling· Mequon, WI
Psychologist, Counseling in Mequon, Wisconsin, registered in NPPES in October 2020. The authorized official on file is Joshua Dolan, PHD, Licensed Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013516905 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 21, 2020 |
| Last updated in NPPES | Oct 21, 2020 |
| Certified by provider | Oct 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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