Active NPI
Adam Nelson Moriwaki, PSY.D.
- Psychologist
- Wauwatosa, WI
National Provider Identifier
1306184171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3546-57
- Practice address
- 10425 W North Ave Ste 239
Wauwatosa, WI 53226-2416 - Phone
- (414) 909-3014
- NPI assigned
- Jan 29, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3546-57 | WI | Primary |
Addresses
Primary practice location
10425 W North Ave Ste 239
Wauwatosa, WI 53226-2416
Mailing address
2337 S 95TH St
West Allis, WI 53227-2335
Phone (414) 403-0966
Other practice location 1
741 N Grand Ave Ste 302
Waukesha, WI 53186-4841
Phone (262) 789-1191 ext. 317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 5, 2022 through Oct 5, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3546-57 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam N. Moriwaki, Psy.D., LLC | Past | Accepting new patients | |
| Cornerstone Counseling Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Wauwatosa, WI
- NPI 1235647504
-
- Community/Behavioral Health Agency
- Waukesha, WI
- NPI 1124105150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1306184171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2337 S 95TH ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272335",
"telephone_number": "414-403-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10425 W NORTH AVE STE 239",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532262416",
"telephone_number": "414-909-3014"
}
],
"practiceLocations": [
{
"address_1": "741 N Grand Ave Ste 302",
"address_purpose": "LOCATION",
"city": "Waukesha",
"state": "WI",
"postal_code": "531864841",
"country_code": "US",
"telephone_number": "262-789-1191 x317",
"fax_number": "262-542-0823",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORIWAKI",
"first_name": "ADAM",
"middle_name": "NELSON",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "3546-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.