Individual provider Active NPI

Patrick J Triggiano, PHD

  • Psychologist
  • Brookfield, WI
National Provider Identifier
1194880286
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2752-57 Issued in WI
Practice address
12760 W North Ave BLDG a
Brookfield, WI 53005-4628
Phone
(262) 439-5500
Fax
(262) 439-5221
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301013947 MI
Psychologist 103T00000X 2752-57 WI Primary

Addresses

Primary practice location

12760 W North Ave BLDG a
Brookfield, WI 53005-4628

Mailing address

12760 W North Ave BLDG a
Brookfield, WI 53005-4628
Phone (262) 439-5500

Other identifiers 1

IdentifierTypeStateIssuer
43560600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20081114000742 MI Practitioner - Clinical Psychologist 6608936034 Reassigns benefits to 1 organization
I20220111001758 WI Practitioner - Clinical Psychologist 6608936034 Reassigns benefits to 1 organization
I20250916002376 TX Practitioner - Clinical Psychologist 6608936034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Milwaukee Psychiatric Physicians CharteredGroup PAC ID 0840249751, 5 clinicians

Practice addresses (Care Compare)

12760 W N Ave
Brookfield, WI 53005-4628
Phone (262) 439-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2752-57WIMDPsychologist
6301013947MIMDClinical Psychologist
2752WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients
Lac Vieux Desert Band of Lake Superior Chippewa Indians CurrentSince Aug 19, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Sep 15, 2008 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N5241 US Highway 45
Watersmeet, MI 49969
Phone (906) 358-4587

Organizations & group practices 4

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1194880286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12760 W NORTH AVE BLDG A",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054628",
            "telephone_number": "262-439-5500",
            "fax_number": "262-439-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 W NORTH AVE BLDG A",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054628",
            "telephone_number": "262-439-5500",
            "fax_number": "262-439-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIGGIANO",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013947",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2752-57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43560600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.