Individual provider Active NPI

Catherine Clayton Loomis, PH.D.

  • Clinical Psychologist
  • Milwaukee, WI
National Provider Identifier
1255477253
Registry record updated Dec 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2083-057 Issued in WI
Practice address
2727 N Mayfair Rd Ste I
Milwaukee, WI 53222-4400
Phone
(414) 698-2654
Fax
(262) 354-1575
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2083-057 WI Primary

Addresses

Primary practice location

2727 N Mayfair Rd Ste I
Milwaukee, WI 53222-4400

Mailing address

2727 N Mayfair Rd Ste I
Milwaukee, WI 53222-4400
Phone (414) 698-2654

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090806000437 WI Practitioner - Clinical Psychologist 4789577677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2727 N Mayfair Rd
Suite I
Milwaukee, WI 53222-4400
Phone (414) 698-2654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2083-057WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Sleep, LLC CurrentSince Jun 1, 2009 Accepting new patients

Locations

201 N Mayfair Rd
Ste 505
Wauwatosa, WI 53226
Phone (414) 258-7799

2727 N Mayfair Rd
Ste I
Wauwatosa, WI 53222
Phone (262) 754-2909

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670025600000",
    "number": "1255477253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 N MAYFAIR RD STE I",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532224400",
            "telephone_number": "414-698-2654",
            "fax_number": "262-354-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N MAYFAIR RD STE I",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532224400",
            "telephone_number": "414-698-2654",
            "fax_number": "262-354-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "CATHERINE",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-12-03",
        "certification_date": "2022-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2083-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.