Active NPI
Vicki J Harder, PH.D.
- Psychologist
- Brookfield, WI
National Provider Identifier
1205935756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2045-057
- Practice address
- 300 Westmoor Dr
Brookfield, WI 53005-4082 - Phone
- (262) 784-8887
- Fax
- (262) 796-9593
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2045-057 | WI | Primary |
| Adult Development & Aging Psychologist | 103TA0700X | 2045-057 | WI |
Addresses
Primary practice location
300 Westmoor Dr
Brookfield, WI 53005-4082
Mailing address
300 Westmoor Dr
Brookfield, WI 53005-4082
Phone (262) 784-8887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39128300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2045 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 2045-057 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hansen Therapy, LLC | Past | Accepting new patients |
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.
-
- Counseling Psychologist
- Waukesha, WI
- NPI 1093805095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270166400000",
"number": "1205935756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 WESTMOOR DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054082",
"telephone_number": "262-784-8887",
"fax_number": "262-796-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WESTMOOR DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054082",
"telephone_number": "262-784-8887",
"fax_number": "262-796-9593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDER",
"first_name": "VICKI",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2010-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2045-057",
"primary": true
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "WI",
"license": "2045-057",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39128300",
"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 Apr 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.