Active NPI
Suzie J Franklin, PHD
- Clinical Child & Adolescent Psychologist
- Brookfield, WI
National Provider Identifier
1730131301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 564
- Practice address
- 13800 W North Ave
Child Development Center of CHW
Brookfield, WI 53005-4977 - Phone
- (262) 432-6600
- Fax
- (262) 432-6604
- NPI assigned
- May 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 564 | WI | Primary |
Addresses
Primary practice location
13800 W North Ave
Child Development Center of CHW
Brookfield, WI 53005-4977
Mailing address
13800 W North Ave
Child Development Center of CHW
Brookfield, WI 53005-4977
Phone (262) 432-6600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730131301 | Medicaid | WI | |
| 002000116K | Other | HUMANA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 564 | WI | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1730131301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13800 W NORTH AVE",
"address_2": "CHILD DEVELOPMENT CENTER OF CHW",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054977",
"telephone_number": "262-432-6600",
"fax_number": "262-432-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 W NORTH AVE",
"address_2": "CHILD DEVELOPMENT CENTER OF CHW",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054977",
"telephone_number": "262-432-6600",
"fax_number": "262-432-6604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKLIN",
"first_name": "SUZIE",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "WI",
"license": "564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730131301",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "002000116K",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.