Active NPI
Kristine M. Dunlap, PHD
- Psychologist
- Milwaukee, WI
National Provider Identifier
1497937999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2242-57
- Practice address
- 2015 E Newport Ave
Suite 409
Milwaukee, WI 53211-2984 - Phone
- (414) 259-3900
- Fax
- (414) 963-0000
- NPI assigned
- Nov 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2242-57 | WI | Primary |
Addresses
Primary practice location
2015 E Newport Ave
Suite 409
Milwaukee, WI 53211-2984
Mailing address
2015 E Newport Ave
Suite 409
Milwaukee, WI 53211-2984
Phone (414) 259-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39770700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2242-57 | WI | MD | Psychologist |
| 2242 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Solutions, Inc. | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1497937999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 E NEWPORT AVE",
"address_2": "SUITE 409",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532112984",
"telephone_number": "414-259-3900",
"fax_number": "414-963-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 E NEWPORT AVE",
"address_2": "SUITE 409",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532112984",
"telephone_number": "414-259-3900",
"fax_number": "414-963-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLAP",
"first_name": "KRISTINE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2242-57",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39770700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.