JOHN M O'DONNELL PH.D.
NPI 1962462093
Psychologist - Cognitive & Behavioral in Glendale, WI
NPI Status: Active since March 24, 2006
Contact Information
5225 N IRONWOOD LN
SUITE # 212
GLENDALE, WI
ZIP 53217
Phone: (414) 962-1000
- Individual
- Male
- Psychologist
- Cognitive & Behavioral
About JOHN O'DONNELL
This page provides the complete NPI Profile along with additional information for John O'donnell, a provider established in Glendale, Wisconsin with a medical specialization in Psychologist, focusing in cognitive & behavioral . The healthcare provider is registered in the NPI registry with number 1962462093 assigned on March 2006. The practitioner's primary taxonomy code is 103TB0200X with license number 561-057 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1962462093
- Provider Name
- JOHN M O'DONNELL PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5225 N IRONWOOD LN SUITE # 212 GLENDALE, WI 53217
- Location Phone
- (414) 962-1000
- Mailing Address
- 2121 LOFTY LN SAUKVILLE, WI 53080
- Mailing Phone
- (262) 375-8653
- Mailing Fax
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-24-2006
- Last Update Date
- 07-09-2007
- 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
Psychologist Cognitive & Behavioral
- Taxonomy Code
- 103TB0200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 561-057
- License State
- WI
- Taxonomy Description
- A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
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.
*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 |
|---|---|---|---|
| R76810 | MEDICARE UPIN (02) | WI | |
| 39055600 | MEDICAID (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. | |||||||||
| 1 | 9 | 6 | 2 | 4 | 6 | 2 | 0 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 8 | 6 | 4 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 8 + 6 + 4 + 0 + 1 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1962462093 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 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073613105 | PROF. GREGORY ROBERT FOKER PH.D. Individual | Counselor (Addiction (Substance Use Disorder)) | 5225 N IRONWOOD LN GLENDALE, WI 53217 (414) 962-9156 |
| 1639266927 | VIVIAN A MARINELLI PSYD Individual | Psychologist | 5225 N IRONWOOD LN GLENDALE, WI 53217 (414) 962-9156 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962462093, enumerated in the NPI registry as an "individual" on March 24, 2006
The provider is located at 5225 N Ironwood Ln Suite # 212 Glendale, Wi 53217 and the phone number is (414) 962-1000
The provider's speciality is Psychologist with taxonomy code 103TB0200X with a focus in Cognitive & Behavioral
The provider might be accepting Accepts: 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 March 24, 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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