Active NPI
Jaquaye Wakefield, PHD
- Psychologist
- Milwaukee, WI
National Provider Identifier
1730429218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3231-57
- Practice address
- 9455 W Watertown Plank Rd
Milwaukee, WI 53226-3559 - Phone
- (414) 257-6995
- NPI assigned
- Feb 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3231-57 | WI | Primary |
Addresses
Primary practice location
9455 W Watertown Plank Rd
Milwaukee, WI 53226-3559
Mailing address
8901 W Capitol Dr
Milwaukee, WI 53222-1706
Phone (414) 465-5770
Other practice location 1
5600 W Brown Deer Rd
Brown Deer, WI 53223-2311
Phone (414) 446-8154
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 |
|---|---|---|---|
| 3231-57 | WI | MD | Psychologist |
| 3231 | WI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1730429218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 W CAPITOL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532221706",
"telephone_number": "414-465-5770",
"fax_number": "414-260-8980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9455 W WATERTOWN PLANK RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263559",
"telephone_number": "414-257-6995"
}
],
"practiceLocations": [
{
"address_1": "5600 W Brown Deer Rd",
"address_purpose": "LOCATION",
"city": "Brown Deer",
"state": "WI",
"postal_code": "532232311",
"country_code": "US",
"telephone_number": "414-446-8154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAKEFIELD",
"first_name": "JAQUAYE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-21",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "3231-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
- Michelle Anne Waide, LCSW
- Jane Njeri Wainaina, M.D.
- Megan Waite, M.D.
- Kathryn Taylor Waitkus
- Caryn Elizabeth Wakefield, SLP
- Martin K. Wakeham, MD
- Lisa Wakeman
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2828)
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3496)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-2936)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.