Individual provider Active NPI

Paul E West, PHD

  • Psychologist
  • Milwaukee, WI
National Provider Identifier
1265472435
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1837 Issued in WI
Practice address
1032 South 16TH St.
Ste. 219
Milwaukee, WI 53204
Phone
(414) 672-3145
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1837 WI Primary

Addresses

Primary practice location

1032 South 16TH St.
Ste. 219
Milwaukee, WI 53204

Mailing address

1032 S 16TH St
Ste 219
Milwaukee, WI 53204
Phone (414) 672-3145

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
I20050913000604 WI Practitioner - Clinical Psychologist 1355384843 Reassigns benefits to 1 organization
Practice locations: Milwaukee, WI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5508 W Vliet St
Milwaukee, WI 53208-2120
Phone (414) 476-1073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1837WIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sixteenth Street Community Health Centers, Inc. Psychologist CurrentSince Dec 29, 2013 Accepting new patients
Sixteenth Street Community Health Centers, Inc. CurrentSince Dec 29, 2013 Accepting new patients
16TH Street Community Health Center Inc. Psychologist Current Accepting new patients
Sixteenth Street Community Health Centers Inc Past Accepting new patients

Locations

1032 S Cesar E Chavez Dr
Milwaukee, WI 53204

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1265472435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 S 16TH ST",
            "address_2": "STE 219",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53204",
            "telephone_number": "414-672-3145",
            "fax_number": "414-383-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 SOUTH 16TH ST.",
            "address_2": "STE. 219",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53204",
            "telephone_number": "414-672-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "PAUL",
        "middle_name": "E",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.