Individual provider Active NPI

John F. Juern, PHD

  • Clinical Psychologist
  • Wauwatosa, WI
National Provider Identifier
1780638429
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1119-057 Issued in WI
Practice address
3333 N Mayfair Rd
Suite #210
Wauwatosa, WI 53222-3219
Phone
(414) 778-1530
Fax
(414) 778-1531
NPI assigned
May 19, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1119-057 WI Primary

Addresses

Primary practice location

3333 N Mayfair Rd
Suite #210
Wauwatosa, WI 53222-3219

Mailing address

3333 N Mayfair Rd
Suite #210
Wauwatosa, WI 53222-3219
Phone (414) 778-1530

Other identifiers 1

IdentifierTypeStateIssuer
39076800MedicaidWI

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

LicenseStateTypeSpecialty
1119-057WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Lutheran Child and Family Service Inc Clinical Past Accepting new patients
Empower Counseling of Milwaukee, LLC Clinical PastSince Jul 31, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780638429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N MAYFAIR RD",
            "address_2": "SUITE #210",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223219",
            "telephone_number": "414-778-1530",
            "fax_number": "414-778-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N MAYFAIR RD",
            "address_2": "SUITE #210",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223219",
            "telephone_number": "414-778-1530",
            "fax_number": "414-778-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUERN",
        "first_name": "JOHN",
        "middle_name": "F.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1119-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39076800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.