Organization Active NPI

Lawrence E Currie PHD SC

  • Clinical Psychologist
  • Milwaukee, WI
National Provider Identifier
1194835140
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
531057 Issued in WI
Legal business name
LAWRENCE E CURRIE PHD SC
Practice address
6815 W Capitol Dr Ste 203
Milwaukee, WI 53216-2056
Phone
(414) 354-3809
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Lawrence E Currie, PHDNPI 1093723686
Title
President Owner
Phone
(414) 354-3089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 531057 WI
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 531057 WI Primary

Addresses

Primary practice location

6815 W Capitol Dr Ste 203
Milwaukee, WI 53216-2056

Mailing address

PO Box 240164
Milwaukee, WI 53224-9008
Phone (414) 354-3089

Other identifiers 2

IdentifierTypeStateIssuer
344423582E01OtherWIBLUE CROSS BLUE SHIELD
39057000MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071009000652 WI Part B Supplier - Clinic/Group Practice 7315032109 Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

6815 W Capitol Dr
Ste 203
Milwaukee, WI 53216
Phone (414) 354-3089

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1194835140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240164",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532249008",
            "telephone_number": "414-354-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 W CAPITOL DR STE 203",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162056",
            "telephone_number": "414-354-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE E CURRIE PHD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "CURRIE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "414-354-3089",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "531057",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "531057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "344423582E01",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39057000",
            "state": "WI"
        }
    ],
    "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 Dec 17, 2020; 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.