Mackenzie Rose Bauer
Individual provider Active NPI School Psychologist · Augusta, WI
NPI 1386589638 · NPPES record last updated Apr 22, 2026
Key facts
- NPI
- 1386589638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 3001029965 (WI)
- Practice address
- E19320 Bartig Rd
Augusta, WI 54722-7501 - Phone
- (715) 286-2291
- NPI assigned
- Apr 22, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3001029965 | WI | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3001029965 | WI | Yes |
Addresses
Primary practice location
E19320 Bartig Rd
Augusta, WI 54722-7501
Mailing address
E19320 Bartig Rd
Augusta, WI 54722-7501
Phone (715) 286-2291
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3001029965 | Other | WI | DPI SCHOOL PSYCHOLOGIST LICENSE |
Other providers in Augusta, WI
- Carol Ann Anger Culliton
- Augusta Area Home, Inc
- Augusta Chiropractic LLC
- Augusta School District
- Lacey Buchholtz
- Christman Family Dental SC
- Jordan Doyle
- Brian Evans
- Savannah L Gray
All providers in Augusta, WI · School Psychologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.