Lynn Fitzsimmons LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2941057 Issued in WI

Legal business name

LYNN FITZSIMMONS LLC

Practice address

216 Green Bay Rd Ste 108
Thiensville, WI 53092

Phone

(414) 861-2174

NPI assigned

Jun 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lynn FitzsimmonsNPI 1629397815

Title

PH.D.

Phone

(414) 861-2174

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

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

• Lynn Fitzsimmons, PHD

  • Psychologist
  • Thiensville, WI
  • NPI 1629397815
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1487940250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 W. WINDPOINTE COURT",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530921188",
            "telephone_number": "414-861-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 GREEN BAY RD STE 108",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "53092",
            "telephone_number": "414-861-2174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Green Bay Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Thiensville",
            "state": "WI",
            "postal_code": "53092",
            "country_code": "US",
            "telephone_number": "414-861-2174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LYNN FITZSIMMONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "FITZSIMMONS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PH.D.",
        "authorized_official_telephone_number": "414-861-2174",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2941057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629397815",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Krueger, PH.D.
• Murphy Lance, MS, OTR/L
• Christine Annette Lange, RN, RCS
• Rita W. Larsen, RDN, CD
• Gary S. Lewis, MD
• Larisa I Mazur, MD
• Andrew John McGuire, D.C.
• Robert Meilbeck, PT, DPT
• Milwaukee Psychiatry SC
• Kathryn Mueller

• All providers in Thiensville, WI
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.