Bettie Jane Larus, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

53445-030 Issued in WI

Doing business as

B J Czisny

Practice address

1220 Dewey Ave
Milwaukee, WI 53213

Phone

(414) 454-6707

Fax

(414) 454-6747

NPI assigned

Aug 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• B J Czisny Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aurora Psychiatric Hospital, Inc.

  • Psychiatric Hospital
  • Wauwatosa, WI
  • NPI 1881627438
  NPD (past)
• Health Psychology Associates, S.C.

  • Social Worker
  • Glendale, WI
  • NPI 1689770497

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427166628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152843",
            "telephone_number": "414-647-6326",
            "fax_number": "414-671-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 DEWEY AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53213",
            "telephone_number": "414-454-6707",
            "fax_number": "414-454-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARUS",
        "first_name": "BETTIE",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "53445-030",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2380-057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B",
            "last_name": "CZISNY",
            "middle_name": "J",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlin Fern Larson, PHARMD
• Karlie R Larson, PHARMD
• Katie Larson
• Sue A Larson, RN
• Nicholas Larue
• Margaret M Lasalle, OTR
• Maria Therese Lasca
• Julia Marie Lasch, FNP
• Lashawnda R Davis Current Initiatives Counseling Service, LLC
• Jennifer M Lashley

• Psychologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Psychologist in Wisconsin

• 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.

Verify at the official NPI Registry.