Neuropsychological Services of Southeastern Wisconsin,LTD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

NEUROPSYCHOLOGICAL SERVICES OF SOUTHEASTERN WISCONSIN,LTD

Practice address

200 S Executive Dr Ste 101
Brookfield, WI 53005-4216

Phone

(262) 780-1592

Fax

(262) 303-4161

NPI assigned

Sep 16, 2019

Organization subpart

No

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

Authorized official

Name

Pamela McMurray, PHD

Title

Neuropsychologist/Owner

Phone

(262) 751-4499

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1902456569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 S WATERVILLE LAKE RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668401",
            "telephone_number": "262-751-4499",
            "fax_number": "262-303-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S EXECUTIVE DR STE 101",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054216",
            "telephone_number": "262-780-1592",
            "fax_number": "262-303-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGICAL SERVICES OF SOUTHEASTERN WISCONSIN,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "MCMURRAY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "262-751-4499",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Daniel Nencka, D.D.S.
• Alyssa Nennig
• Sarah Ness, LPC, CSAC
• Jodi Ann Neumann, OTR
• John Waldemar Neumann, PT
• William Brian Neuschaefer, DDS
• Andrea Neuser
• Kathleen Nevermann, R.N.
• New Perspective Brookfield
• Newborn Care Physicians of Southeastern Wisconsin, LLP

• Clinical Neuropsychologist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Clinical Neuropsychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.