Active NPI
Bridget D Wozniak, PHD
- Psychologist
- Milwaukee, WI
National Provider Identifier
1699107102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3676
- Practice address
- 2311 N Prospect Ave
Milwaukee, WI 53211-4445 - Phone
- (414) 319-3000
- NPI assigned
- Aug 7, 2013
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 3676 | WI | |
| Psychologist | 103T00000X | 3676 | WI | Primary |
Addresses
Primary practice location
2311 N Prospect Ave
Milwaukee, WI 53211-4445
Mailing address
2222 S 114TH St
West Allis, WI 53227-1031
Phone (414) 449-4444
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1699107102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 S 114TH ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532271031",
"telephone_number": "414-449-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 N PROSPECT AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532114445",
"telephone_number": "414-319-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOZNIAK",
"first_name": "BRIDGET",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-07",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "WI",
"license": "3676",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "3676",
"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 Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.