Active NPI
Hillary D Wynn, MD
- Child & Adolescent Psychiatry Physician
- Wauwatosa, WI
National Provider Identifier
1871600767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- C211233
- Practice address
- 2600 N Mayfair Rd Ste 400
Wauwatosa, WI 53226-1306 - Phone
- (414) 232-8397
- Fax
- (888) 297-5852
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 47257-020 | WI | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 47257-020 | WI | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | C211233 | CA | Primary |
| Psychiatry Physician | 2084P0800X | C211233 | CA |
Addresses
Primary practice location
2600 N Mayfair Rd Ste 400
Wauwatosa, WI 53226-1306
Mailing address
2600 N Mayfair Rd Ste 400
Wauwatosa, WI 53226-1306
Phone (414) 232-8397
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47257-020 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Integrative Psychiatric Care, LLC | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients |
Locations
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
459 E 1st St
Fond du Lac, WI 54935
Phone (920) 929-3500
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
-
- Adolescent and Children Mental Health Clinic/Center
- Glendale, WI
- NPI 1366269987
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1871600767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 N MAYFAIR RD STE 400",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261306",
"telephone_number": "414-232-8397",
"fax_number": "888-297-5852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 N MAYFAIR RD STE 400",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261306",
"telephone_number": "414-232-8397",
"fax_number": "888-297-5852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNN",
"first_name": "HILLARY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "47257-020",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WI",
"license": "47257-020",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "C211233",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C211233",
"primary": false
}
],
"identifiers": [],
"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 Aug 27, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.