Individual provider Active NPI

Nancy M Healyhaney, PSY.D

  • Clinical Psychologist
  • Brookfield, WI
National Provider Identifier
1255631255
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2134057 Issued in WI
Practice address
17100 W North Ave
Suite 100
Brookfield, WI 53005-4436
Phone
(262) 786-9184
Fax
(262) 786-9106
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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 2134057 WI Primary

Addresses

Primary practice location

17100 W North Ave
Suite 100
Brookfield, WI 53005-4436

Mailing address

309 E North St
Waukesha, WI 53188-3718
Phone (262) 786-9184

Other names 1

  • Dr. Nancy M Healyhaney Professional name

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
I20110303000685 WI Practitioner - Clinical Psychologist 4688856255 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
Group practices

Practice addresses (Care Compare)

309 E N St
Waukesha, WI 53188-3718
Phone (414) 672-1353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2134057WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sixteenth Street Community Health Centers, Inc. CurrentSince May 6, 2019 Accepting new patients
16TH Street Community Health Center Inc. CurrentSince May 6, 2019 Accepting new patients
16TH Street Community Health Center Inc. Current Accepting new patients
Dr. Nancy Healy Haney and Associates, PLLC Current Accepting new patients
Christian Counseling Associates LLC Past Accepting new patients
Sixteenth Street Community Health Centers, Inc. Past Accepting new patients

Locations

2906 S 20th St
Milwaukee, WI 53215
Phone (414) 385-8800

1635 W National Ave
Milwaukee, WI 53204
Phone (262) 408-5094

1032 S Cesar E Chavez Dr
Milwaukee, WI 53204

4570 S 27th St
Milwaukee, WI 53221
Phone (414) 325-8720

1337 S Cesar E Chavez Dr
Milwaukee, WI 53204
Phone (414) 672-1354

309 E North St
Waukesha, WI 53188
Phone (262) 408-2530

Organizations & group practices 6

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1255631255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E NORTH ST",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883718",
            "telephone_number": "262-786-9184",
            "fax_number": "262-786-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 W NORTH AVE",
            "address_2": "SUITE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054436",
            "telephone_number": "262-786-9184",
            "fax_number": "262-786-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALYHANEY",
        "first_name": "NANCY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2134057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "HEALYHANEY",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.