Individual provider Active NPI

Richard August Hohfeler, PSYD

  • Clinical Psychologist
  • Wauwatosa, WI
National Provider Identifier
1881694701
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1295 Issued in WI
Practice address
10045 W Lisbon Ave
Suite 200
Wauwatosa, WI 53222-2446
Phone
(414) 358-7151
Fax
(414) 393-1640
NPI assigned
Jul 21, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1295 WI Primary

Addresses

Primary practice location

10045 W Lisbon Ave
Suite 200
Wauwatosa, WI 53222-2446

Mailing address

10045 W Lisbon Ave
Suite 200
Wauwatosa, WI 53222-2446
Phone (414) 358-7151

Other identifiers 1

IdentifierTypeStateIssuer
39077400MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080508000788 WI Practitioner - Clinical Psychologist 8022060854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10045 W Lisbon Ave
Wauwatosa, WI 53222-2446
Phone (414) 358-7151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alternatives in Psychological Consultation Current Accepting new patients
Alternatives in Psychological Consultation, S.C. CurrentSince Mar 1, 2008 Accepting new patients
Richard a Hohfeler III PSYD, S.C. CurrentSince Apr 29, 2010 Accepting new patients

Locations

10045 W Lisbon Ave
Wauwatosa, WI 53222
Phone (414) 358-7144

10045 W Lisbon Ave
Ste 200
Wauwatosa, WI 53222
Phone (414) 358-7151

6737 W Washington St
Ste 1300
West Allis, WI 53214
Phone (414) 358-7144

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, 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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881694701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10045 W LISBON AVE",
            "address_2": "SUITE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222446",
            "telephone_number": "414-358-7151",
            "fax_number": "414-393-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 W LISBON AVE",
            "address_2": "SUITE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222446",
            "telephone_number": "414-358-7151",
            "fax_number": "414-393-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOHFELER",
        "first_name": "RICHARD",
        "middle_name": "AUGUST",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39077400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.