Active NPI
Robert A Chucka, PSYD
- Psychologist
- Milwaukee, WI
National Provider Identifier
1225057540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2469-057
- Practice address
- 3364 S 11TH St
Milwaukee, WI 53215-5133 - Phone
- (414) 285-6456
- Fax
- (414) 285-6456
- NPI assigned
- Jul 18, 2006
- Last updated
- Apr 23, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2469-057 | WI | Primary |
Addresses
Primary practice location
3364 S 11TH St
Milwaukee, WI 53215-5133
Mailing address
3364 S 11TH St
Milwaukee, WI 53215-5133
Phone (414) 285-6456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42197700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3364 S 11TH St
Milwaukee, WI 53215-5133
Phone (414) 285-6456
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2469-057 | WI | MD | Psychologist |
| 2469 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Rivers Therapy LLC | Psychologist | Current | Accepting new patients |
Locations
250 E Wisconsin Ave
Ste 1800
Milwaukee, WI 53202
Phone (414) 289-7154
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1225057540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3364 S 11TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532155133",
"telephone_number": "414-285-6456",
"fax_number": "414-285-6456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3364 S 11TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532155133",
"telephone_number": "414-285-6456",
"fax_number": "414-285-6456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUCKA",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2469-057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42197700",
"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 Apr 23, 2026; 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.