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

Jonathan Deiches

Individual provider Counselor · NPI 1104123959

Jonathan Deiches is a Clinical Psychologist in Madison, Wisconsin. Qualified in 2017, 9 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
9
In the registry since
2011
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

625 W Washington Ave
Madison, WI 53703-2637
Phone: (608) 280-2700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1104123959
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 14, 2011
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022
Mailing address625 W Washington Ave, Madison, WI 53703-2637

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Madison