Individual provider Active NPI

Lori Ann Garfinkel, PSYD, LPC

  • Psychologist
  • Shorewood, WI
National Provider Identifier
1619558806
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
4066 N Stowell Ave
Shorewood, WI 53211-2132
Phone
(248) 930-5652
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8232-125 WI
Professional Counselor 101YP2500X 4203-226 WI
Clinical Psychologist 103TC0700X 4019-57 WI
Psychologist 103T00000X Primary

Addresses

Primary practice location

4066 N Stowell Ave
Shorewood, WI 53211-2132

Mailing address

4066 N Stowell Ave
Shorewood, WI 53211-2132
Phone (248) 930-5652

Other practice location 1

2675 N Mayfair Rd
Wauwatosa, WI 53226-1315
Phone (414) 763-6910

Other identifiers 1

IdentifierTypeStateIssuer
100163845MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4203-226WIMDProfessional Counselor
8232-125WIMDProfessional Counselor
4019-57WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Frontiers Psychiatric SC Psychologist CurrentSince Feb 18, 2022 Accepting new patients
New Frontiers TMS LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

2675 N Mayfair Rd
Ste 400
Milwaukee, WI 53226
Phone (414) 350-2449

Organizations & group practices 2

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1619558806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 N STOWELL AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112132",
            "telephone_number": "248-930-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 N STOWELL AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112132",
            "telephone_number": "248-930-5652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2675 N Mayfair Rd",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532261315",
            "country_code": "US",
            "telephone_number": "414-763-6910",
            "fax_number": "414-763-6911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARFINKEL",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8232-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4203-226",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "4019-57",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100163845",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, WI

Sources for this page

Verify at the official NPI Registry.