South Street Clinic LLC
NPI 1235128356 · Clinical Psychologist · Oconomowoc, WI
South Street Clinic LLC is a Clinical Psychologist organization in Oconomowoc, WI (NPI 1235128356).
Provider details
- NPI number
- 1235128356
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Anne Weston, Clinic Owner(262) 567-7673
- License
- 1841 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is South Street Clinic LLC's NPI number?
- South Street Clinic LLC's National Provider Identifier (NPI) is 1235128356, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Street Clinic LLC?
- South Street Clinic LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is South Street Clinic LLC located?
- South Street Clinic LLC's practice location on file with NPPES is 416 W South St, Oconomowoc, WI 53066-2755.
- What is South Street Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for South Street Clinic LLC is (262) 567-7673.
- Who is the authorized official for South Street Clinic LLC?
- The authorized official listed on South Street Clinic LLC's NPPES record is Anne Weston, Clinic Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Street Clinic LLC's NPI active?
- Yes — South Street Clinic LLC's NPI (1235128356) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.