Organization Active NPI

Michael L Kula Psy D S.C.

  • Psychologist
  • Milwaukee, WI
National Provider Identifier
1093034456
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1433 Issued in WI
Legal business name
MICHAEL L KULA PSY D S.C.
Practice address
2801 W Kinnickinnic River Pkwy
Suite 347
Milwaukee, WI 53215-3669
Phone
(414) 385-2877
NPI assigned
May 25, 2010
Last updated
May 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Jane K Hansen
Title
Billing
Phone
(262) 363-9917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1433 WI Primary

Addresses

Primary practice location

2801 W Kinnickinnic River Pkwy
Suite 347
Milwaukee, WI 53215-3669

Mailing address

PO Box 510058
New Berlin, WI 53151-0058
Phone (414) 385-2877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100614000383 WI Part B Supplier - Clinic/Group Practice 3577693894 Receives reassigned benefits from 1 practitioner
Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

2801 W Kinnickinnic River Pkwy
Ste 347
Milwaukee, WI 53215
Phone (414) 385-2877

2801 W Kinnickinnic River Pkwy
Ste 365
Milwaukee, WI 53215
Phone (414) 385-2877

Practitioners & affiliated clinicians

Practitioners 2

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": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1093034456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510058",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531510058",
            "telephone_number": "414-385-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY",
            "address_2": "SUITE 347",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153669",
            "telephone_number": "414-385-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L KULA PSY D S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "262-363-9917"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.