Susan C Endes, MS ATRL BC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

License

69036 Issued in WI

Practice address

2020 W Wells St
Milwaukee, WI 53233

Phone

(414) 937-2096

Fax

(414) 937-2021

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104046168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 N 99 ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264310",
            "telephone_number": "414-258-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W WELLS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53233",
            "telephone_number": "414-937-2096",
            "fax_number": "414-937-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDES",
        "first_name": "SUSAN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MS ATRL BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "WI",
            "license": "69036",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "WI",
            "license": "69036",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41001000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Group Psychotherapy Psychologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Group Psychotherapy Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.