ELKHART PSYCHOLOGICAL SERVICES LLC NPI 1265554430

NPI Information

  • NPI: 1265554430
  • Provider Name: ELKHART PSYCHOLOGICAL SERVICES, LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 6000 MONONA DR
    SUITE 203
    MONONA, WI
    ZIP 53716
  • Phone: (608) 223-9767

Map and Directions

Get Directions

NPI Details

ELKHART PSYCHOLOGICAL SERVICES, LLC is a clinical psychologist in Monona, 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. ELKHART PSYCHOLOGICAL SERVICES, LLC NPI is 1265554430. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6000 MONONA DR
SUITE 203
MONONA, WI
ZIP 53716-931
Phone: (608) 223-9767
Fax: (608) 223-9767

The provider's authorized official is Lawrence Mandt .
The authorized official title is Owner and has the following contact phone number (608) 223-9767.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 4/20/2008.

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
1103TC0700XPsychologistClinical1610WISCONSINYes

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=========014OTHERWISCONSINBLUE CROSS BLUE SHIELD
21011078OTHERWISCONSINPHYSICIANS PLUS
339088600MEDICAIDWISCONSIN

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI