Active NPI
Patrick J Triggiano, PHD
- Psychologist
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2752-57
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43560600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, WI, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2752-57 | WI | MD | Psychologist |
| 6301013947 | MI | MD | Clinical Psychologist |
| 2752 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Lac Vieux Desert Band of Lake Superior Chippewa Indians | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | 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.
-
- Psychiatry Physician
- Brookfield, WI
- NPI 1588739155
-
- Family Medicine Physician
- Ironwood, MI
- NPI 1992704753
-
- Federally Qualified Health Center (FQHC)
- Watersmeet, MI
- NPI 1114071578
TX
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Ironwood, MI
- NPI 1609743590
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.