Active NPI
Judith Katherine Hall, MD
- Psychiatry Physician
- Milwaukee, WI
National Provider Identifier
1669655577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 24108
- Practice address
- 611 W National Ave
Walkers Point Community Clinic
Milwaukee, WI 53204 - Phone
- (414) 442-4763
- Fax
- (414) 672-7012
- NPI assigned
- Dec 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24108 | WI | |
| Psychiatry Physician | 2084P0800X | 24108 | WI | Primary |
Addresses
Primary practice location
611 W National Ave
Walkers Point Community Clinic
Milwaukee, WI 53204
Mailing address
611 W National Ave
Walkers Point Community Clinic
Milwaukee, WI 53204
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24108 | WI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1669655577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W NATIONAL AVE",
"address_2": "WALKERS POINT COMMUNITY CLINIC",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53204",
"fax_number": "414-672-7012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W NATIONAL AVE",
"address_2": "WALKERS POINT COMMUNITY CLINIC",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53204",
"telephone_number": "414-442-4763",
"fax_number": "414-672-7012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JUDITH",
"middle_name": "KATHERINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-13",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "24108",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "24108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.