Active NPI
Juliette Martin-Thomas PHD SC
- Psychologist
- Fox Point, WI
National Provider Identifier
1063433951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- JULIETTE MARTIN-THOMAS PHD SC
- Practice address
- 555 W Brown Deer Rd Ste 216
Fox Point, WI 53217-6204 - Phone
- (414) 365-9444
- NPI assigned
- Jul 23, 2006
- Last updated
- Sep 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juliette Martin-Thomas, PHD
- Title
- Owner/President
- Phone
- (414) 365-9444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary |
Addresses
Primary practice location
555 W Brown Deer Rd Ste 216
Fox Point, WI 53217-6204
Mailing address
1001 W Glen Oaks LN Ste 105
Mequon, WI 53092-3369
Phone (414) 434-8514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39023900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
555 W Brown Deer Rd
Ste 216
Fox Point, WI 53217
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Fox Point, WI
- NPI 1518907633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1063433951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W GLEN OAKS LN STE 105",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923369",
"telephone_number": "414-434-8514",
"fax_number": "414-365-2937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 W BROWN DEER RD STE 216",
"city": "FOX POINT",
"state": "WI",
"postal_code": "532176204",
"telephone_number": "414-365-9444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIETTE MARTIN-THOMAS PHD SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "MARTIN-THOMAS",
"authorized_official_first_name": "JULIETTE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "414-365-9444",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39023900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fox Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.