Individual provider Active NPI

Nicole Klepp, PSY.D.

  • Clinical Psychologist
  • Waukesha, WI
National Provider Identifier
1427398585
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3230-57 Issued in WI
Practice address
20700 Watertown Rd Ste 100
Waukesha, WI 53186-1800
Phone
(262) 933-4024
Fax
(262) 933-4038
NPI assigned
Feb 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X 3230-57 WI Primary

Addresses

Primary practice location

20700 Watertown Rd Ste 100
Waukesha, WI 53186-1800

Mailing address

20700 Watertown Rd Ste 100
Waukesha, WI 53186-1800
Phone (262) 933-4024

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
I20150310001501 WI Practitioner - Clinical Psychologist 8123344181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20700 Watertown Rd
Suite 100
Waukesha, WI 53186-1800
Phone (262) 933-4024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3230-57WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Evaluations, LLC Clinical CurrentSince May 30, 2023 Accepting new patients
Glassman & Stanik Consulting Psychologists, LLC Past Accepting new patients
Integrated Pain & Joint Care SC PastSince Mar 3, 2024 Accepting new patients

Locations

20700 Watertown Rd
Ste 100
Waukesha, WI 53186
Phone (262) 888-2150

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1427398585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 WATERTOWN RD STE 100",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861800",
            "telephone_number": "262-933-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 WATERTOWN RD STE 100",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861800",
            "telephone_number": "262-933-4024",
            "fax_number": "262-933-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPP",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3230-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.