Ingrid Diann Hicks, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1198 Issued in WI

Practice address

835 N 23Rd St
Suite #212
Milwaukee, WI 53233-3300

Phone

(414) 933-7083

Fax

(414) 933-7083

NPI assigned

Oct 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Transformationservices

  • Adult Mental Health Clinic/Center
  • Milwaukee, WI
  • NPI 1518121037
  NPD (past) Authorized official
• Transformationservices

  • Addiction (Substance Use Disorder) Counselor
  • Milwaukee, WI
  • NPI 1558593129
  NPD (past) Authorized official

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1700074457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N 23RD ST",
            "address_2": "SUITE #212",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532333300",
            "telephone_number": "414-933-7083",
            "fax_number": "414-933-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 N 23RD ST",
            "address_2": "SUITE #212",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532333300",
            "telephone_number": "414-933-7083",
            "fax_number": "414-933-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "INGRID",
        "middle_name": "DIANN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39038800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Hicks, ED.S.
• Andrea E Hicks, CRNA
• Benjamin Hicks, DO
• Craig Hicks, OD
• Hilary Jean Hicks, PHD
• Jena Hicks
• Mary Rose Hicks, PH.D.
• Catherine A Hida
• Keziah Jara Lumahan Hidalgo, DO
• Elizabeth Anne Hieb, LCSW

• Psychologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.