Active NPI
Moira Wendel
- Psychologist
- Madison, WI
National Provider Identifier
1679209688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5381-57
- Practice address
- 1500 Highland Ave
Madison, WI 53705-2274 - Phone
- (608) 890-3622
- NPI assigned
- Aug 1, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6362009549 | MI | |
| Psychologist | 103T00000X | 5381-57 | WI | Primary |
Addresses
Primary practice location
1500 Highland Ave
Madison, WI 53705-2274
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Other practice location 1
10524 E Grand River Ave
Ste 100
Brighton, MI 48116
Phone (810) 225-3417
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7974 Uw Health CT
Middleton, WI 53562-5531
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5381-57 | WI | MD | Psychologist |
| 6362009549 | MI | MD | Clinical Social Worker |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1679209688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 UW HEALTH CT",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 HIGHLAND AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537052274",
"telephone_number": "608-890-3622"
}
],
"practiceLocations": [
{
"address_1": "10524 E Grand River Ave",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MI",
"postal_code": "48116",
"country_code": "US",
"telephone_number": "810-225-3417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENDEL",
"first_name": "MOIRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-01",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6362009549",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "5381-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.