Pamela J McMurray, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2426-057 Issued in WI

Practice address

200 S Executive Dr Ste 101
Brookfield, WI 53005

Phone

(262) 751-4499

Fax

(262) 303-4161

NPI assigned

Nov 13, 2006

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Neuropsychological Services of Southeastern Wisconsin,LTD

  • Clinical Neuropsychologist
  • Brookfield, WI
  • NPI 1902456569
  Authorized official Same address or phone
• Prohealth Medical Group Inc

  • Family Medicine Physician
  • Waukesha, WI
  • NPI 1790720613
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1114098704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S EXECUTIVE DR STE 101",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054216",
            "telephone_number": "262-751-4499",
            "fax_number": "262-303-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S EXECUTIVE DR STE 101",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53005",
            "telephone_number": "262-751-4499",
            "fax_number": "262-303-4161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 American Ave",
            "address_2": "suite 501",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531885071",
            "country_code": "US",
            "telephone_number": "262-928-2396",
            "fax_number": "262-544-1213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMURRAY",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2426-057",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WI",
            "license": "2426-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39144100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary McElwee, MS, OTR
• Katherine Elizabeth McIntyre, M.S., LPC
• Trish McKenna, MS
• Catherine C McKesson, M.D.
• Asia McKinley
• Debra Sue McNair-Mertes, RDH
• Jane J McSweeney, ARNP
• Medical Eye Associates of Wisconsin,S.C.
• Lucille Medrow, RN
• Katherine Ann Medved, RPH

• Clinical Neuropsychologist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Clinical Neuropsychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.