Courtney Barry, PSYD
Individual provider Active NPI Clinical Psychologist · Milwaukee, WI
NPI 1487183240 · NPPES record last updated Jun 30, 2017
Key facts
- NPI
- 1487183240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3475-57 (WI)
- Practice address
- 2400 W Villard Ave
Milwaukee, WI 53209-4901 - Phone
- (414) 527-8348
- NPI assigned
- Jun 6, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Medical College of Wisconsin Inc
Practice addresses (Care Compare)
8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666
8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170831000787 | WI | Practitioner - Clinical Psychologist | 5799058491 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Current |
Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current |
Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current |
Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
2400 W Villard Ave
Glendale, WI 53209
Phone (414) 527-8000
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051
Phone (262) 255-2500
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3475-57 | WI | Yes |
Addresses
Primary practice location
2400 W Villard Ave
Milwaukee, WI 53209-4901
Mailing address
8701 W. Watertown Plank Road
DFCM
Milwaukee, WI 53226-3548
Phone (414) 955-4669
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487183240 | Medicaid | WI |
Other providers in Milwaukee, WI
- Stacy Lynn Barron
- Gustavo Dalto Barroso Machado
- Barry Healthcare Services, Inc
- Barry K Gimbel MD SC
- Aleigha Barry
- Darnesha Darmenia Barry
- Heather M. Barry
- Blaine McKinley Barsch
- Emad Barsoum
- Danielle Noel Barstad
All providers in Milwaukee, WI · Clinical Psychologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.