Brian M. Fidlin Psychological Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRIAN M. FIDLIN PSYCHOLOGICAL SERVICES

Practice address

14135 N Cedarburg Rd
Mequon, WI 53097-1416

Phone

(262) 377-2006

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Brian Michael Fidlin, PSY.D.

Title

Clinical Psychologist

Phone

(414) 837-6391

Specialties & licenses 1

Addresses

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea P Janis-Towey, PHD

  • Clinical Psychologist
  • Milwaukee, WI
  • NPI 1649341207
  NPD

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1467923474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171009",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532178092",
            "telephone_number": "414-837-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 N CEDARBURG RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971416",
            "telephone_number": "262-377-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN M. FIDLIN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "FIDLIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "414-837-6391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bpiaskoski@wi.rr.com",
            "affiliation": "N",
            "address_1": "14135 N Cedarburg Rd",
            "city": "Mequon",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530971416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bpiaskoski@wi.rr.com",
            "affiliation": "N",
            "address_1": "14135 N Cedarburg Rd",
            "city": "Mequon",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530971416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marcie Brenner, PT
• Brent J Martin DDS Ms SC
• Brett Egelseer
• Brewer Counseling and Wellness
• Cameron Craig Brewer, PH.D.
• Jodi Allison Brin, PSY.D.
• John Scott Broderick, M.D.
• Benjamin Broghammer, M.D.
• Katrina Marie Brown, MS.ED., LPC
• Keely Bornor Browning

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mequon, WI
• Providers in Mequon, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.