Psychological Assessment Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PSYCHOLOGICAL ASSESSMENT SERVICES, LLC

Practice address

2380 N 124TH St Ste 101
Wauwatosa, WI 53226-1071

Phone

(414) 443-1773

Fax

(414) 443-1747

NPI assigned

Sep 23, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Karyn L Gust-Brey

Title

Partner/Licensed Psychologist

Phone

(414) 443-1773

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1275935033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 N 124TH ST STE 101",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261071",
            "telephone_number": "414-443-1773",
            "fax_number": "414-443-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 N 124TH ST STE 101",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261071",
            "telephone_number": "414-443-1773",
            "fax_number": "414-443-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSESSMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "GUST-BREY",
        "authorized_official_first_name": "KARYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "414-443-1773",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619072170",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861622524",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.