Active NPI
Nancy M Healyhaney, PSY.D
- Clinical Psychologist
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2134057
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2134057 | WI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sixteenth Street Community Health Centers, Inc. | Current | Accepting new patients | |
| 16TH Street Community Health Center Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1417912999
-
- Community/Behavioral Health Agency
- Burr Ridge, IL
- NPI 1053166157
-
dba Sixteenth Street Community Health Centers
- Federally Qualified Health Center (FQHC)
- Waukesha, WI
- NPI 1144593815
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1316587439
-
- Psychologist
- Brookfield, WI
- NPI 1164736088
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1821517681
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
- Healthdrive Audiology Group, PC
- Healthdrive Podiatry Group, PC (HealthDrive Podiatry Group)
- Healthdrive Podiatry Group, PC (HealthDrive Podiatry Group)
- Healthreach Rehabilitation Services, Inc.
- Healthstat Inc
- Emma Heaney
- David L Heber, MD
- Scottie-Lynn Hecht, NP
- Melanie Heckert
- Jennifer Ann Heckman, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.