David Phelps, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3179-57 Issued in WI

Practice address

401 E Kilbourn Ave
Suite 402
Milwaukee, WI 53202-3212

Phone

(414) 269-8690

Fax

(414) 269-8657

NPI assigned

Oct 17, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Christian Counseling Associates LLC

  • Psychologist
  • Brookfield, WI
  • NPI 1164736088
  NPD (past)
• Glassman & Stanik Consulting Psychologists, LLC

  • Clinical Neuropsychologist
  • Milwaukee, WI
  • NPI 1720105877
  NPD (past)

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1568890150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 S WENTWORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532073016",
            "telephone_number": "414-807-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E KILBOURN AVE",
            "address_2": "SUITE 402",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023212",
            "telephone_number": "414-269-8690",
            "fax_number": "414-269-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-17",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "3179-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mara Pheister, M.D.
• Laura Jayne Phelan
• Mary Beth Phelan, MD
• Rachel Ann Phelan, MD, MPH
• Brooke Phelps, LPC
• Jessica Catherine Phelps, MD
• Mark Christian Phelps, M.D.
• Suzanne Kerry Phelps, MS CCC SLP
• Rosalyn Marie Phetteplace
• Aphelia Elaine Phifer-Hill, RN

• Psychologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.