Individual provider Active NPI

Christine Ann Schwanda

  • Clinical Psychologist
  • Milwaukee, WI
National Provider Identifier
1164032215
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5504-57 Issued in WI
Practice address
3940 S Pine Ave
Milwaukee, WI 53207-4535
Phone
(414) 581-3641
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5504-57 WI Primary

Addresses

Primary practice location

3940 S Pine Ave
Milwaukee, WI 53207-4535

Mailing address

3940 S Pine Ave
Milwaukee, WI 53207-4535
Phone (414) 581-3641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240927001350 WI Practitioner - Mental Health Counselor 7416488770 Reassigns benefits to 1 organization
I20260325001060 WI Practitioner - Clinical Psychologist 7416488770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

26422 Oakridge Dr
Wind Lake, WI 53185-1402
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5504-57WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Aug 14, 2024 Accepting new patients

Locations

2923 Marketplace Dr
Ste 204
Fitchburg, WI 53719
Phone (608) 549-5781

26422 Oakridge Dr
Ste 106
Wind Lake, WI 53185

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1164032215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 S PINE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532074535",
            "telephone_number": "414-581-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 S PINE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532074535",
            "telephone_number": "414-581-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWANDA",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "5504-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.