Terese Eileen Andrle, M.D.
Individual provider Active NPI Psychiatry Physician · Brookfield, WI
NPI 1528022241 · NPPES record last updated Mar 8, 2015
Key facts
- NPI
- 1528022241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 30713-20 (WI)
- Practice address
- 16535 W Bluemound Rd
#200
Brookfield, WI 53005-5936 - Phone
- (262) 789-1191
- NPI assigned
- Apr 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30713-20 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc | Past | Accepting new patients | |
| Waukesha Health System, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 30713-20 | WI | Yes |
Addresses
Primary practice location
16535 W Bluemound Rd
#200
Brookfield, WI 53005-5936
Mailing address
16535 W Bluemound Rd
#200
Brookfield, WI 53005-5936
Phone (262) 789-1191
Other providers in Brookfield, WI
- Katrina L Anderson
- Kelli Jo Anderson
- Krystle Fawn Anderson
- Michelle L. Anderson
- Weston Garrett Andrews
- Tiffany Sue Anewenter-Grinker
- Anne Huebner & Associates LLC
- Angela Anthony
- Tamara Anthony
- Linda Marie Anton
All providers in Brookfield, WI · Psychiatry Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.