Active NPI
Donna Marie Laughrin, PHD
- Clinical Neuropsychologist
- Mequon, WI
National Provider Identifier
1508924465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 2266 057
- Practice address
- 10303 N Port Washington Road
Suite 203
Mequon, WI 53092 - Phone
- (262) 241-5955
- Fax
- (262) 241-5926
- NPI assigned
- Dec 4, 2006
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 2266 057 | WI | Primary |
Addresses
Primary practice location
10303 N Port Washington Road
Suite 203
Mequon, WI 53092
Mailing address
10303 N Port Washington Road
Suite 203
Mequon, WI 53092
Phone (262) 241-5955
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2266 057 | WI | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Center LLC | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mequon, WI
- NPI 1780755389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508924465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10303 N PORT WASHINGTON ROAD",
"address_2": "SUITE 203",
"city": "MEQUON",
"state": "WI",
"postal_code": "53092",
"telephone_number": "262-241-5955",
"fax_number": "262-241-5926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10303 N PORT WASHINGTON ROAD",
"address_2": "SUITE 203",
"city": "MEQUON",
"state": "WI",
"postal_code": "53092",
"telephone_number": "262-241-5955",
"fax_number": "262-241-5926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUGHRIN",
"first_name": "DONNA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "WI",
"license": "2266 057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.