Neuropsychological Consultants Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NEUROPSYCHOLOGICAL CONSULTANTS INC

Practice address

5017 Green Bay Rd Ste 130
Kenosha, WI 53144-1782

Phone

(262) 671-1334

NPI assigned

Feb 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Teresa M. D Deer, PH.D.NPI 1477515724

Title

President

Phone

(847) 308-6125

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Deer, PH.D.

  • Psychologist
  • Kenosha, WI
  • NPI 1477515724
  Medicare reassignment Care Compare group NPD Authorized official
• Verna F. Christy, PSYD

  • Psychologist
  • Kenosha, WI
  • NPI 1780769810
  Medicare reassignment Care Compare group NPD
• June Restrepo, PHD

  • Clinical Neuropsychologist
  • Kenosha, WI
  • NPI 1669799508
  Medicare reassignment Care Compare group NPD
• Mary Andrea Kishline, MSW

  • Counselor
  • Kenosha, WI
  • NPI 1316013030
  NPD (past)
• Lisa M Defazio, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Kenosha, WI
  • NPI 1336374925
  NPD (past)
• Michael A Defazio, MSSW LICSW CADC III

  • Social Worker
  • Kenosha, WI
  • NPI 1154407419
  NPD (past)
• Paul Michael Defazio, MSW

  • Clinical Social Worker
  • Kenosha, WI
  • NPI 1740326370
  NPD (past)
• Corrie Ruth Lee, MSW, LCSW, SAC

  • Addiction (Substance Use Disorder) Counselor
  • Kenosha, WI
  • NPI 1275652315
  NPD (past)
• Ashokkumar K Shah, M.D.

  • Psychiatry Physician
  • Kenosha, WI
  • NPI 1730246380
  NPD (past)
• Toni Ann Pliskin, LCSW

  • Clinical Social Worker
  • Glenview, IL
  • NPI 1174602676
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1013059187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 GREEN BAY RD STE 130",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441782",
            "telephone_number": "262-671-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 GREEN BAY RD STE 130",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441782",
            "telephone_number": "262-671-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGICAL CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "DEER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M. D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-308-6125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001635716",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Margaret Nelson, MD
• Joshua Nelson, P.T.
• Neu & Hill Physical Therapy, SC
• Mark J Neu, PT
• Neurology Center of Kenosha, S.C.
• Neurowave Therapy Group LLC
• New Day Psychiatric Care, LLC
• Lisa Neyens, PHARMD
• Rebecca NG, MD, MPH
• Ngy LLC (Functional Health Kenosha)

• Psychologist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.