Individual provider Active NPI

William David Ewing III

  • Counseling Psychologist
  • Milwaukee, WI
National Provider Identifier
1417442021
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
545157 Issued in WI
Practice address
6110 N Port Washington Rd
Milwaukee, WI 53217-4308
Phone
(141) 496-2100
NPI assigned
Jun 26, 2018
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 545157 WI Primary

Addresses

Primary practice location

6110 N Port Washington Rd
Milwaukee, WI 53217-4308

Mailing address

1661 N 119TH St
Wauwatosa, WI 53226-2945
Phone (314) 482-2695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260312002556 WI Practitioner - Clinical Psychologist 3870086739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Psychology Associates, Inc.Group PAC ID 9133114333, 8 clinicians

Practice addresses (Care Compare)

6110 N Port Washington Rd
Glendale, WI 53217-4308
Phone (414) 962-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
545157WIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Psychology Associates, Inc. CurrentSince Nov 18, 2025 Accepting new patients
Ewing Consulting LLC Counseling CurrentSince Nov 18, 2025 Accepting new patients

Locations

6110 N Port Washington Rd
Glendale, WI 53217
Phone (414) 332-7400

6520 W Layton Ave
Ste 206
Greenfield, WI 53220
Phone (414) 962-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1417442021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 N 119TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262945",
            "telephone_number": "314-482-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 N PORT WASHINGTON RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532174308",
            "telephone_number": "141-496-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "545157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.