Matthew David Jandrisevits, PH.D.
NPI 1740477751ActiveIndividual· Psychologist· Milwaukee, WI
Psychologist (PH.D.) in Milwaukee, Wisconsin, licensed in WI, with an NPI issued in October 2007. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1740477751 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Oct 3, 2007 |
| Last updated in NPPES | May 7, 2021 |
| Certified by provider | May 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 2678057 | WI |
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 Practitioner - Clinical Psychologist (WI) |
|---|
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