Active NPI
Kevin F McSorley, PSYD
- Psychologist
- Milwaukee, WI
National Provider Identifier
1225321607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2930
- Practice address
- 9455 W Watertown Plank Rd
Milwaukee, WI 53226-3559 - Phone
- (414) 257-7310
- NPI assigned
- May 18, 2011
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2930 | WI | Primary |
Addresses
Primary practice location
9455 W Watertown Plank Rd
Milwaukee, WI 53226-3559
Mailing address
2761 S Wentworth Ave
Milwaukee, WI 53207
Phone (414) 455-0987
Other practice location 1
2555 N Martin Luther King Dr
Milwaukee, WI 53212-2709
Phone (414) 372-8080
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2930 | WI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1225321607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2761 S WENTWORTH AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53207",
"telephone_number": "414-455-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9455 W WATERTOWN PLANK RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263559",
"telephone_number": "414-257-7310"
}
],
"practiceLocations": [
{
"address_1": "2555 N Martin Luther King Dr",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532122709",
"country_code": "US",
"telephone_number": "414-372-8080",
"fax_number": "414-372-7425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCSORLEY",
"first_name": "KEVIN",
"middle_name": "F",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2930",
"primary": true
}
],
"identifiers": [],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.