MR. JAY R PELDO LCSW NPI 1851405682

NPI Information

NPI: 1851405682
Provider Name: MR. JAY R PELDO, LCSW
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4011 W CAPITOL DR
200
MILWAUKEE, WI
ZIP 53216
Phone: (414) 449-9908
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MR. Jay R Peldo, LCSW is a professional counselor in Milwaukee, WI. MR. Jay R Peldo, LCSW NPI is 1851405682. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4011 W CAPITOL DR
200
MILWAUKEE, WI
ZIP 53216-557
Phone: (414) 449-9908

The enumeration date for this NPI number is 8/18/2006 and was last updated on 9/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2669	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	39656000	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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