DR. JEFFREY ALLEN ADAMCZAK PSY.D NPI 1508914771

NPI Information

  • NPI: 1508914771
  • Provider Name: DR. JEFFREY ALLEN ADAMCZAK, PSY.D
  • Classification: Psychologist - 103TA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 6929 MARINER DR
    STE. D
    RACINE, WI
    ZIP 53406
  • Phone: (262) 886-3322

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NPI Details

DR. Jeffrey Allen Adamczak, PSY.D is an addiction (substance use disorder) psychologist in Racine, WI. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. DR. Jeffrey Allen Adamczak, PSY.D NPI is 1508914771. 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:

6929 MARINER DR
STE. D
RACINE, WI
ZIP 53406-938
Phone: (262) 886-3322
Fax: (414) 571-9648

The enumeration date for this NPI number is 1/6/2007 and was last updated on 7/8/2007.

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
1103TA0400XPsychologistAddiction (Substance Use Disorder)1758WISCONSINYes
2103TA0700XPsychologistAdult Development & Aging1758WISCONSINX
3103TB0200XPsychologistCognitive & Behavioral1758WISCONSINX
4103TC0700XPsychologistClinical1758WISCONSINX
5103TC2200XPsychologistClinical Child & Adolescent1758WISCONSINX
6103TF0000XPsychologistFamily1758WISCONSINX
7103TF0200XPsychologistForensic1758WISCONSINX
8103TH0100XPsychologistHealth Service1758WISCONSINX
9103TM1800XPsychologistIntellectual and Developmental Disabilities1758WISCONSINX
10103T00000XPsychologist1758WISCONSINX
11103TP2701XPsychologistGroup Psychotherapy1758WISCONSINX

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: 3/30/2025

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