NPIMap

Organization Active NPI

Integrative Psyche, LLC

  • Clinical Psychologist
  • Milwaukee, WI
National Provider Identifier
1255704565
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3230-57 Issued in WI
Legal business name
INTEGRATIVE PSYCHE, LLC
Doing business as
Integrative Psyche LLC
Practice address
10150 W National Ave Ste 390
Milwaukee, WI 53227-2145
Phone
(414) 545-4430
Fax
(414) 545-4454
NPI assigned
Nov 9, 2015
Last updated
Jun 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Authorized official

Name
Dr. Nicole Klepp, PSY.D.
Title
Psychologist, Owner
Phone
(414) 269-1473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3230-57 WI Primary

Addresses

Primary practice location

10150 W National Ave Ste 390
Milwaukee, WI 53227-2145

Mailing address

10150 W National Ave Ste 390
Milwaukee, WI 53227-2145
Phone (414) 545-4430

Other practice location 1

2448 S 102nd St
Suite 270
Milwaukee, WI 53227-2466
Phone (414) 269-1473

Other names 1

  • Integrative Psyche LLC Doing business as

National Provider Directory

National Provider Directory

Locations

10150 W National Ave
Ste 390
West Allis, WI 53227
Phone (414) 454-4430

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1255704565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 W NATIONAL AVE STE 390",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532272145",
            "telephone_number": "414-545-4430",
            "fax_number": "414-545-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 W NATIONAL AVE STE 390",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532272145",
            "telephone_number": "414-545-4430",
            "fax_number": "414-545-4454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2448 S 102nd St",
            "address_2": "SUITE 270",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532272466",
            "country_code": "US",
            "telephone_number": "414-269-1473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "KLEPP",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "414-269-1473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3230-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Psyche LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.