NPIMap

Organization Active NPI

Lynn a Vice PSYD SC

  • Psychologist
  • Milwaukee, WI
National Provider Identifier
1700908902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
910 Issued in WI
Legal business name
LYNN A VICE PSYD SC
Practice address
2315 N Lake Dr
Milwaukee, WI 53211-4518
Phone
(414) 271-7442
Fax
(414) 271-7530
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lynn A Vice, PSY DNPI 1124182738
Title
Psychologist
Phone
(414) 271-7442

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 910 WI Primary

Addresses

Primary practice location

2315 N Lake Dr
Milwaukee, WI 53211-4518

Mailing address

2315 N Lake Dr
Milwaukee, WI 53211-4518
Phone (414) 271-7442

National Provider Directory

National Provider Directory

Locations

2315 N Lake Dr
Ste 820
Milwaukee, WI 53211
Phone (414) 271-7442

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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700908902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 N LAKE DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114518",
            "telephone_number": "414-271-7442",
            "fax_number": "414-271-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 N LAKE DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114518",
            "telephone_number": "414-271-7442",
            "fax_number": "414-271-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN A VICE PSYD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VICE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "414-271-7442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "910",
            "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 Aug 22, 2020; 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.