Individual provider Active NPI

Lauren Elizabeth Knuckey, PHD

  • Clinical Psychologist
  • Madison, WI
National Provider Identifier
1043903511
Registry record updated Jun 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5474-57 Issued in WI
Practice address
4706 Cottage Grove Rd Ste 100
Madison, WI 53716-1354
Phone
(855) 607-8242
NPI assigned
May 31, 2023
Last updated
Jun 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5474-57 WI Primary

Addresses

Primary practice location

4706 Cottage Grove Rd Ste 100
Madison, WI 53716-1354

Mailing address

4706 Cottage Grove Rd Ste 100
Madison, WI 53716-1354
Phone (855) 607-8242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

213 Stonefield Dr
Lake Mills, WI 53551-1965

821 Jenifer St
Apt 4
Madison, WI 53703-3512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5474-57WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Clinic, LLC Clinical CurrentSince Jun 26, 2026 Accepting new patients
Behavioral Health Clinic, LLC Clinical PastSince Jun 26, 2026 Accepting new patients

Locations

4706 Cottage Grove Rd
Ste 100
Madison, WI 53716
Phone (608) 268-6530

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780790400000",
    "number": "1043903511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 COTTAGE GROVE RD STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537161354",
            "telephone_number": "855-607-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 COTTAGE GROVE RD STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537161354",
            "telephone_number": "855-607-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUCKEY",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2026-06-07",
        "certification_date": "2026-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "5474-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.