MRS. DANIELLE E SAMPLE PSY.D.
NPI 1548205685
Psychologist - Clinical in Pewaukee, WI

NPI Status: Active since June 20, 2006

Contact Information

161 W WISCONSIN AVE STE 2B
PEWAUKEE, WI
ZIP 53072
Phone: (262) 695-8857
Fax: (262) 695-8879

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  • Individual
  • Female
  • Psychologist
  • Clinical

About DANIELLE SAMPLE

This page provides the complete NPI Profile along with additional information for Danielle Sample, a provider established in Pewaukee, Wisconsin with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1548205685 assigned on June 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 2476-057 (WI). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1548205685
Provider Name
MRS. DANIELLE E SAMPLE PSY.D.
Gender
Female
Entity Type
Individual
Location Address
161 W WISCONSIN AVE STE 2B PEWAUKEE, WI 53072
Location Phone
(262) 695-8857
Location Fax
(262) 695-8879
Mailing Address
W243N5807 QUAIL RUN LN SUSSEX, WI 53089
Mailing Phone
(262) 695-8857
Mailing Fax
(262) 695-8879
Is Sole Proprietor?
No
Enumeration Date
06-20-2006
Last Update Date
07-08-2007
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A clinical psychologist like Danielle Sample assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
2476-057
License State
WI
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
392929500010OTHER (01)WIBCBS
40906600MEDICAID (05)WI 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548205685
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25884010616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 4 + 0 + 1 + 0 + 6 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1548205685 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982638847MRS. JILL T BUTTERFIELD M.S. ATRL-BC
Individual
Counselor (Mental Health)161 W WISCONSIN AVE STE 2B
PEWAUKEE, WI 53072
(262) 695-8857
1316024847LAKEFRONT WELLNESS CENTER, SC
Organization
Psychologist (Clinical)161 W WISCONSIN AVE STE 2B
PEWAUKEE, WI 53072
(262) 695-8857

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548205685, enumerated in the NPI registry as an "individual" on June 20, 2006

The provider is located at 161 W Wisconsin Ave Ste 2b Pewaukee, Wi 53072 and the phone number is (262) 695-8857

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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