DR. JODY ANN PAHLAVAN PSYD NPI 1093707044

NPI Information

  • NPI: 1093707044
  • Provider Name: DR. JODY ANN PAHLAVAN, PSYD
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: N48W16080 LONE OAK LN
    MENOMONEE FALLS, WI
    ZIP 53051
  • Phone: (414) 745-3117

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NPI Details

DR. Jody Ann Pahlavan, PSYD is a clinical psychologist in Menomonee Falls, WI. The provider is 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. DR. Jody Ann Pahlavan, PSYD NPI is 1093707044. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

N48W16080 LONE OAK LN
MENOMONEE FALLS, WI
ZIP 53051-528
Phone: (414) 745-3117

The enumeration date for this NPI number is 8/16/2005 and was last updated on 10/14/2025.

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
1103T00000XPsychologist1694-057WISCONSINNo
2103TC0700XPsychologistClinical19360WISCONSINYes

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
139229700MEDICAIDWISCONSIN

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: 11/21/2025

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