Active NPI
Kelly June Schinke, PSY.D.
- Clinical Psychologist
- Appleton, WI
National Provider Identifier
1932365574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2697-057
- Practice address
- 602 Waldoch Dr
Suite 100
Appleton, WI 54913-8445 - Phone
- (920) 213-8881
- NPI assigned
- Aug 4, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2697-057 | WI | Primary |
Addresses
Primary practice location
602 Waldoch Dr
Suite 100
Appleton, WI 54913-8445
Mailing address
W7109 Glen Valley Dr
Greenville, WI 54942-8108
Phone (920) 213-8881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2697-057 | WI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1932365574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W7109 GLEN VALLEY DR",
"city": "GREENVILLE",
"state": "WI",
"postal_code": "549428108",
"telephone_number": "920-213-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 WALDOCH DR",
"address_2": "SUITE 100",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138445",
"telephone_number": "920-213-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHINKE",
"first_name": "KELLY",
"middle_name": "JUNE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "2697-057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.