Active NPI
Robert C Reff, PHD
- Psychologist
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3659-57
- Practice address
- 1160 Kepler Dr
Green Bay, WI 54311-8321 - Phone
- (920) 288-5630
- NPI assigned
- Nov 15, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LH60807146 | WA | |
| Psychologist | 103T00000X | PY60807140 | WA | |
| Psychologist | 103T00000X | 2914 | OR | |
| Psychologist | 103T00000X | 3659-57 | WI | Primary |
Addresses
Primary practice location
1160 Kepler Dr
Green Bay, WI 54311-8321
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
906 W 2nd Ave Ste 600
Spokane, WA 99201-4539
Phone (509) 458-5889
Other practice location 2
505 W Riverside Ave Ste 504
Spokane, WA 99201
Phone (509) 252-1898
Other practice location 3
1881 Chicago St
DE Pere, WI 54115-3770
Phone (920) 403-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100086951 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | rreff226063@direct.myadvocateaurora.org |
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1881 Chicago St
De Pere, WI 54115-3770
Phone (920) 403-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60807146 | WA | MD | Counselor |
| 2914 | OR | MD | Psychologist |
| PY60807140 | WA | MD | Psychologist |
| 3659-57 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients |
Locations
1881 Chicago St
De Pere, WI 54115
Phone (920) 403-8000
1160 Kepler Dr
Green Bay, WI 54311
Phone (920) 288-5400
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
Interoperability endpoints
- rreff226063@direct.myadvocateaurora.org
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1871006536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 KEPLER DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543118321",
"telephone_number": "920-288-5630"
}
],
"practiceLocations": [
{
"address_1": "906 W 2nd Ave Ste 600",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992014539",
"country_code": "US",
"telephone_number": "509-458-5889",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 W Riverside Ave Ste 504",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "99201",
"country_code": "US",
"telephone_number": "509-252-1898",
"fax_number": "509-381-3502",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1881 Chicago St",
"address_purpose": "LOCATION",
"city": "DE Pere",
"state": "WI",
"postal_code": "541153770",
"country_code": "US",
"telephone_number": "920-403-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REFF",
"first_name": "ROBERT",
"middle_name": "C",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-15",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "LH60807146",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY60807140",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "2914",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "3659-57",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100086951",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1881 Chicago St",
"city": "DE Pere",
"state": "WI",
"country_code": "US",
"postal_code": "541153770",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rreff226063@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "1881 Chicago St",
"city": "DE Pere",
"state": "WI",
"country_code": "US",
"postal_code": "541153770",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.