Active NPI
Mindy Marcus, PH.D.
- Counseling Psychologist
- Milwaukee, WI
National Provider Identifier
1376745182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 001023
- Practice address
- Clemente J Zablocki Medical Ctr
5000 W. National Ave
Milwaukee, WI 53295-0001 - Phone
- (414) 384-2000
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 001023 | IA | Primary |
Addresses
Primary practice location
Clemente J Zablocki Medical Ctr
5000 W. National Ave
Milwaukee, WI 53295-0001
Mailing address
7905 N Range Line Rd
River Hills, WI 53217-2044
Phone (414) 354-5060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001023 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376745182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7905 N RANGE LINE RD",
"city": "RIVER HILLS",
"state": "WI",
"postal_code": "532172044",
"telephone_number": "414-354-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CLEMENTE J ZABLOCKI MEDICAL CTR",
"address_2": "5000 W. NATIONAL AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532950001",
"telephone_number": "414-384-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "MINDY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IA",
"license": "001023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.