Individual provider Active NPI

Alexandria Ventress-Taylor, PSY.D.

  • Psychologist
  • Waukesha, WI
National Provider Identifier
1245901909
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5606-57 Issued in WI
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

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.