Organization Active NPI

Juliette Martin-Thomas PHD SC

  • Psychologist
  • Fox Point, WI
National Provider Identifier
1063433951
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Juliette Martin-Thomas, PHDNPI 1518907633
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
39023900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070830000121 WI Part B Supplier - Clinic/Group Practice 4688767064 Receives reassigned benefits from 1 practitioner
Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.