Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Psych Affiliates Inc

Organization Nurse Practitioner · NPI 1417605197

Psych Affiliates Inc is a Nurse Practitioner in Mequon, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11431 N Port Washington Rd Ste 101B
Mequon, WI 53092-3463
Phone: (414) 502-7216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1417605197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Kochanik — President · (414) 502-7216
NPI enumeratedMarch 12, 2022
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024
Mailing address11431 N Port Washington Rd Ste 101b, Mequon, WI 53092-3463

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