Active NPI
Michael Lee Kula, PSYD
- Psychologist
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1433
- Practice address
- 2801 W Kinnickinnic River Pkwy
Ste 347
Milwaukee, WI 53215-3693 - Phone
- (414) 385-2877
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 1433 | WI | Primary |
Addresses
Primary practice location
2801 W Kinnickinnic River Pkwy
Ste 347
Milwaukee, WI 53215-3693
Mailing address
PO Box 510058
New Berlin, WI 53151-0058
Phone (414) 385-2877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39091400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2801 W Kinnickinnic River Pkwy
Suite 365
Milwaukee, WI 53215-3693
Phone (414) 385-2877
PO Box
Suite 510058
New Berlin, WI 53151-0058
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1433 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael L Kula Psy D S.C. | Psychologist | Current | Accepting new patients |
| Diagnostic Assessment and Memory Services, LLC | Psychologist | Past | Accepting new patients |
Locations
2801 W Kinnickinnic River Pkwy
Ste 347
Milwaukee, WI 53215
Phone (414) 385-2877
2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215
Phone (414) 384-5111
2801 W Kinnickinnic River Pkwy
Ste 365
Milwaukee, WI 53215
Phone (414) 385-2877
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 and National Provider Directory roles.
-
- Psychologist
- Milwaukee, WI
- NPI 1093034456
-
- Psychologist
- Milwaukee, WI
- NPI 1558511675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1831251321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 510058",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531510058",
"telephone_number": "414-385-2877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 W KINNICKINNIC RIVER PKWY",
"address_2": "STE 347",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153693",
"telephone_number": "414-385-2877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULA",
"first_name": "MICHAEL",
"middle_name": "LEE",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "1433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39091400",
"state": "WI"
}
],
"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 Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.