Angelique Lewis

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2880-57 Issued in WI

Practice address

820 N Plankinton Ave
Milwaukee, WI 53203-1802

Phone

(414) 225-1568

Fax

(414) 225-1575

NPI assigned

Apr 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Grace Healing and Wellness Center, LLC.

  • Clinical Psychologist
  • Pewaukee, WI
  • NPI 1467190694
  Medicare reassignment NPD Authorized official
• Vivent Health Inc

  • Clinic/Center
  • Milwaukee, WI
  • NPI 1982654091
  Medicare reassignment NPD
• Vivent Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
  • NPI 1770721607
  NPD

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1295979714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N PLANKINTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031802",
            "telephone_number": "414-225-1568",
            "fax_number": "414-225-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N PLANKINTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031802",
            "telephone_number": "414-225-1568",
            "fax_number": "414-225-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ANGELIQUE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2880-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Katherine Lewandoski, CNM
• David Lewandowski
• Jorena Lewandowski, LCSW
• Lori Lewandowski, RN
• Angelia Lawanda Lewis
• Arlene Lewis, RDH
• Ashley Nicole Lewis, MD
• Brian D Lewis, MD
• Debbie Lewis
• Deondre Lewis, LMT

• Clinical Psychologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.