Myra Dorene West, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3467-57 Issued in WI

Practice address

211 S Central Ave Ste 500
Marshfield, WI 54449-2866

Phone

(715) 721-6916

NPI assigned

Sep 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: myra.west@marshfieldclinichealthsystem.cernerdirect.com

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.

• West Organizational Consulting LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marshfield, WI
  • NPI 1114710589
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1225224827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S CENTRAL AVE STE 500",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544492866",
            "telephone_number": "715-721-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S CENTRAL AVE STE 500",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544492866",
            "telephone_number": "715-721-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "MYRA",
        "middle_name": "DORENE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071007264",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3467-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas John Wenninger, M.D.
• Jessica A. Wernberg, MD
• Phyllis M Werner, RN
• Harold Werth, PA
• West Organizational Consulting LLC
• Hannah M Westlund, RN
• Philip Logan Whitfield, PHARMD
• Brook Wibben, RDH
• Ronald A. Wibel, C. PED.
• Alexander Robert Wiedbusch, DPT

• Clinical Psychologist in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.