Patricia Ann Flanagan, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2695-057 Issued in WI

Practice address

1017 W Glen Oaks LN
Suite 201
Mequon, WI 53092-3371

Phone

(262) 241-3698

Fax

(262) 241-3359

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mequon Clinical Associates SCGroup PAC ID 5092876524, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Mequon Clinical Associates, SC

  • Psychiatry Physician
  • Mequon, WI
  • NPI 1326296518
  Medicare reassignment Care Compare group NPD
• East Town Professional Associates, S.C.

  • Psychiatry Physician
  • Mequon, WI
  • NPI 1669411567
  NPD (past)
• Shore Counseling and Consulting Clinic, S.C.

  • Group Psychotherapy Psychologist
  • Milwaukee, WI
  • NPI 1588710073
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1508943366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W GLEN OAKS LN",
            "address_2": "SUITE 201",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923371",
            "telephone_number": "262-241-3698",
            "fax_number": "262-241-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 W GLEN OAKS LN",
            "address_2": "SUITE 201",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923371",
            "telephone_number": "262-241-3698",
            "fax_number": "262-241-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "650-125",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2695-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41005900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42247200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennedy Alexandria Finch
• Rebecca Fink-Leach, LPC, SAC-IT
• Madeline Finn, PA-C
• Fisher Family Chiropractic, S.C.
• Five Star Northshore LLC
• Neena B Florsheim, PHD
• Kaitlin Fogeltanz, BCBA
• Trevor Folker, MS, LAT, ATC
• Christine Ann Foran, PSGT
• Katherine A Foran, RPSGT

• Clinical Psychologist in Mequon, WI
• Providers in Mequon, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.