Active NPI
Lynn a. Vice, Psy.D., S. C.
- Clinical Psychologist
- Milwaukee, WI
National Provider Identifier
1407994700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 910-057
- Legal business name
- LYNN A. VICE, PSY.D., S. C.
- Practice address
- 2315 N Lake Dr
Suite 820
Milwaukee, WI 53211-4518 - Phone
- (414) 271-7442
- Fax
- (414) 271-7530
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lynn Ann Vice, PSY.D.
- Title
- President
- Phone
- (414) 271-7442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 910-057 | WI | Primary |
Addresses
Primary practice location
2315 N Lake Dr
Suite 820
Milwaukee, WI 53211-4518
Mailing address
2315 N Lake Dr
Suite 820
Milwaukee, WI 53211-4518
Phone (414) 271-7442
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407994700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 N LAKE DR",
"address_2": "SUITE 820",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532114518",
"telephone_number": "414-271-7442",
"fax_number": "414-271-7530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 N LAKE DR",
"address_2": "SUITE 820",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532114518",
"telephone_number": "414-271-7442",
"fax_number": "414-271-7530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNN A. VICE, PSY.D., S. C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VICE",
"authorized_official_first_name": "LYNN",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-271-7442",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "910-057",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.