Active NPI
Dr Christine Foskett LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pewaukee, WI
National Provider Identifier
1689117202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 3076-57
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161205000202 | WI | Part B Supplier - Clinic/Group Practice | 0345520607 |
Receives reassigned benefits from 1 practitioner Practice locations: Pewaukee, WI |
National Provider Directory
National Provider DirectoryLocations
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.