Organization Active NPI

Dr Christine Foskett LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pewaukee, WI
National Provider Identifier
1689117202
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
3076-57 Issued in WI
Legal business name
DR CHRISTINE FOSKETT LLC
Practice address
N27W23960 Paul Rd Ste 206
Pewaukee, WI 53072-6218
Phone
(815) 520-3141
NPI assigned
Nov 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Dr. Mary Christine Foskett, PSY.D.NPI 1861719460
Title
Dr. of Clinical Psychology
Phone
(608) 841-1442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 3076-57 WI Primary

Addresses

Primary practice location

N27W23960 Paul Rd Ste 206
Pewaukee, WI 53072-6218

Mailing address

N27W23960 Paul Rd Ste 206
Pewaukee, WI 53072-6218
Phone (815) 520-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161205000202 WI Part B Supplier - Clinic/Group Practice 0345520607 Receives reassigned benefits from 1 practitioner
Practice locations: Pewaukee, WI

National Provider Directory

National Provider Directory

Locations

7633 Ganser Way
Ste 104
Madison, WI 53719

N27W23960 Paul Rd
Ste 206
Pewaukee, WI 53072
Phone (262) 290-5525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1689117202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N27W23960 PAUL RD STE 206",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726218",
            "telephone_number": "815-520-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N27W23960 PAUL RD STE 206",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726218",
            "telephone_number": "815-520-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHRISTINE FOSKETT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "FOSKETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "DR. OF CLINICAL PSYCHOLOGY",
        "authorized_official_telephone_number": "608-841-1442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "3076-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.