Active NPI
Alexandria Ventress-Taylor, PSY.D.
- Psychologist
- Waukesha, WI
National Provider Identifier
1245901909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5606-57
- Practice address
- N14W23777 Stone Ridge Dr Ste 135
Waukesha, WI 53188-1164 - Phone
- (414) 279-9082
- NPI assigned
- Sep 22, 2021
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5606-57 | WI | Primary |
Addresses
Primary practice location
N14W23777 Stone Ridge Dr Ste 135
Waukesha, WI 53188-1164
Mailing address
1700 S 57TH St
West Allis, WI 53214-5107
Phone (262) 751-2902
Other practice location 1
1700 S 57th St
West Allis, WI 53214-5107
Phone (262) 751-2902
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1245901909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 S 57TH ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532145107",
"telephone_number": "262-751-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N14W23777 STONE RIDGE DR STE 135",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881164",
"telephone_number": "414-279-9082"
}
],
"practiceLocations": [
{
"address_1": "1700 S 57th St",
"address_purpose": "LOCATION",
"city": "West Allis",
"state": "WI",
"postal_code": "532145107",
"country_code": "US",
"telephone_number": "262-751-2902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENTRESS-TAYLOR",
"first_name": "ALEXANDRIA",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-22",
"last_updated": "2026-09-07",
"certification_date": "2026-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "5606-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.