NORTHSHORE CLINIC & CONSULTANTS, INC.
NPI 1720201163
Community/Behavioral Health in Cedarburg, WI
NPI Status: Active since April 11, 2007
Contact Information
W62N248 WASHINGTON AVE
SUITE #207
CEDARBURG, WI
ZIP 53012
Phone: (262) 375-1116
Fax: (262) 375-1071
- Organization
- Community/Behavioral Health
- Accepts Insurance
About NORTHSHORE CLINIC & CONSULTANTS, INC.
This page provides the complete NPI Profile along with additional information for Northshore Clinic & Consultants, Inc., a provider established in Cedarburg, Wisconsin operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1720201163 assigned on April 2007. The practitioner's primary taxonomy code is 251S00000X with license number 1695 (WI). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Therese A Jaeckle Apnp (Clinical Director)
- NPI
- 1720201163
- Provider Name
- NORTHSHORE CLINIC & CONSULTANTS, INC.
- Entity Type
- Organization
- Location Address
- W62N248 WASHINGTON AVE SUITE #207 CEDARBURG, WI 53012
- Location Phone
- (262) 375-1116
- Location Fax
- (262) 375-1071
- Mailing Address
- W62N248 WASHINGTON AVE SUITE #207 CEDARBURG, WI 53012
- Mailing Phone
- (262) 375-1116
- Mailing Fax
- (262) 375-1071
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-11-2007
- Last Update Date
- 04-19-2011
- Code Navigator
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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 1695
- License State
- WI
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Essentia Choice Care with Medica Bronze Share - EPO
- Essentia Choice Care with Medica Expanded Bronze Standard - EPO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Gold Share - EPO
- Essentia Choice Care with Medica Gold Standard - EPO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Silver Share - EPO
- Essentia Choice Care with Medica Silver Standard - EPO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
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 |
|---|---|---|---|
| 084862 | MEDICARE PIN (08) | WI | |
| 44295 | MEDICARE PIN (08) | 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. | |||||||||
| 1 | 7 | 2 | 0 | 2 | 0 | 1 | 1 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 4 | 0 | 2 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 4 + 0 + 2 + 1 + 1 + 2 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1720201163 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437124617 | DONALD J. MEYER D.O. Individual | Family Medicine | W62N248 WASHINGTON AVE CEDARBURG, WI 53012 (262) 375-1380 |
| 1669506846 | HOLLY JANE GARDENIER MS, LPC, CSAC, ICS Individual | Counselor (Professional) | W62N248 WASHINGTON AVE SUITE 207 CEDARBURG, WI 53012 (414) 545-1950 |
| 1407079866 | JOY A MYERS PH.D. Individual | Counselor (Professional) | W62N248 WASHINGTON AVE SUITE #207 CEDARBURG, WI 53012 (262) 375-1116 |
| 1063696516 | MRS. THERESE L. JAECKLE MSN, APNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | W62N248 WASHINGTON AVE CEDARBURG, WI 53012 (262) 375-1116 |
| 1184899015 | DONALD J. MEYER, DOSC Organization | Family Medicine | W62N248 WASHINGTON AVE CEDARBURG, WI 53012 (262) 375-1380 |
| 1831430776 | LINDSEY MARIE BALDWIN LCSW Individual | Social Worker (Clinical) | W62N248 WASHINGTON AVE SUITE#207 CEDARBURG, WI 53012 (262) 375-1116 |
| 1043551039 | NICOLE M SCHER-HUBING LCSW Individual | Social Worker (Clinical) | W62N248 WASHINGTON AVE SUITE#207 CEDARBURG, WI 53012 (262) 375-1116 |
| 1215320908 | DAVID DICH LPC Individual | Counselor (Professional) | W62N248 WASHINGTON AVE SUITE#207 CEDARBURG, WI 53012 (262) 375-0879 |
| 1235666017 | MYLES TONNACLIFF PH.D, LLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | W62N248 WASHINGTON AVE SUITE 208 CEDARBURG, WI 53012 (262) 618-2856 |
| 1780307819 | AMANDA J O'CONNELL Individual | Counselor (Mental Health) | W62N248 WASHINGTON AVE CEDARBURG, WI 53012 (262) 375-1116 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720201163, enumerated in the NPI registry as an "organization" on April 11, 2007
The provider is located at W62n248 Washington Ave Suite #207 Cedarburg, Wi 53012 and the phone number is (262) 375-1116
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
The provider might be accepting Accepts: Chorus Community Health Plans, Medica, Molina. 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 April 11, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.