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NPI Code Detail

MEDICARE: JASMINE FELIX PSY.D.

MEDICARE:   JASMINE  FELIX  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist4171-57WI

General Provider Information

NPI Number : 1295668754
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE FELIX PSY.D.
Provider Business Mailing Address
First Line : 126 MARY ANN RD APT 12
Second Line :
City : BEAVER DAM
State : WI
Zip : 53916-3136
Country : US
Telephone Number : 816-592-0181
Fax Number :
Provider Business Practice Location Address
First Line : 200 S MADISON ST
Second Line :
City : WAUPUN
State : WI
Zip : 53963-2000
Country : US
Telephone Number : 816-592-0181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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