Active NPI
Michelle K. Altenberger
- School Psychologist
- Pewaukee, WI
National Provider Identifier
1215404553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3590002519
- Practice address
- N25W27244 Orchard LN
Pewaukee, WI 53072-4949 - Phone
- (414) 313-1359
- NPI assigned
- Oct 24, 2018
- Last updated
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3590002519 | WI | Primary |
Addresses
Primary practice location
N25W27244 Orchard LN
Pewaukee, WI 53072-4949
Mailing address
N25W27244 Orchard LN
Pewaukee, WI 53072-4949
Phone (414) 313-1359
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3590002519 | WI | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1215404553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N25W27244 ORCHARD LN",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530724949",
"telephone_number": "414-313-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N25W27244 ORCHARD LN",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530724949",
"telephone_number": "414-313-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTENBERGER",
"first_name": "MICHELLE",
"middle_name": "K.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WI",
"license": "3590002519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pewaukee, WI
- Alan Sumwalt Psychotherapies LLC
- Cynthia A Algaier, R.N.
- Alison Ali, L.AC., MSOM
- Align the Spine Chiropractic, LLC
- Alliance ENT & Hearing Center, S.C. (Winner's Edge Performance Clinic)
- Thomas C Anderson
- Applewhite Dental Wisconsin, P.C. (Pewaukee Dental)
- Nicole Elizabeth Arnold, ATC
- Athletic & Therapeutic Institute of Milwaukee, LLC (ATI Physical Therapy)
- Athletic and Therapeutic Institute of Milwaukee, LLC (ATI Active Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.