Dr Judy a Eager LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2442-057 Issued in WI

Legal business name

DR JUDY A EAGER LLC

Practice address

13965 W Burleigh Rd
Suite 203
Brookfield, WI 53005-3064

Phone

(262) 785-6003

Fax

(262) 785-2773

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Judy A. Eager, PSY.D.NPI 1922172634

Title

Clinical Psychologist

Phone

(262) 785-6003

Specialties & licenses 1

Addresses

Locations

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.

• Judy A Eager, PSYD

  • Clinical Psychologist
  • Brookfield, WI
  • NPI 1922172634
  Authorized official Same address or phone

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144433970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13965 W BURLEIGH RD",
            "address_2": "SUITE 203",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053064",
            "telephone_number": "262-785-6003",
            "fax_number": "262-785-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13965 W BURLEIGH RD",
            "address_2": "SUITE 203",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053064",
            "telephone_number": "262-785-6003",
            "fax_number": "262-785-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JUDY A EAGER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EAGER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "262-785-6003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2442-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.