NPIMap

Organization Active NPI

Pediatric Neuropsychology and Treatment Associates, SC

  • Clinical Child & Adolescent Psychologist
  • Pewaukee, WI
National Provider Identifier
1326265448
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
PEDIATRIC NEUROPSYCHOLOGY AND TREATMENT ASSOCIATES, SC
Practice address
N27W23953 Paul Rd
Ste. 206
Pewaukee, WI 53072-6242
Phone
(262) 347-0701
Fax
(262) 347-0705
NPI assigned
Apr 19, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Christopher Paul Wiebusch, PH.D.NPI 1659598746
Title
President
Phone
(262) 347-0701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

N27W23953 Paul Rd
Ste. 206
Pewaukee, WI 53072-6242

Mailing address

N27W23953 Paul Rd
Ste. 206
Pewaukee, WI 53072-6242
Phone (262) 347-0701

National Provider Directory

National Provider Directory

Locations

N27W23953 Paul Rd
Ste 206
Pewaukee, WI 53072
Phone (262) 347-0701

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1326265448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N27W23953 PAUL RD",
            "address_2": "STE. 206",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726242",
            "telephone_number": "262-347-0701",
            "fax_number": "262-347-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N27W23953 PAUL RD",
            "address_2": "STE. 206",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726242",
            "telephone_number": "262-347-0701",
            "fax_number": "262-347-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROPSYCHOLOGY AND TREATMENT ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WIEBUSCH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-347-0701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.