Moresco-Goniu Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1151-057 Issued in WI

Legal business name

MORESCO-GONIU PSYCHOLOGICAL SERVICES LLC

Practice address

7733 W Burleigh St
Milwaukee, WI 53222-5003

Phone

(262) 347-8848

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Carol Lynn Moresco-Goniu, PH.D.NPI 1295788115

Title

Owner/Clinic Director

Phone

(262) 347-8848

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Lynn Moresco-Goniu, PH.D.

  • Adult Development & Aging Psychologist
  • Milwaukee, WI
  • NPI 1295788115
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1942215421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N33W23374 GREENBRIAR CT",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725721",
            "telephone_number": "262-347-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7733 W BURLEIGH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532225003",
            "telephone_number": "262-347-8848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N33W23374 Greenbriar Ct",
            "address_purpose": "LOCATION",
            "city": "Pewaukee",
            "state": "WI",
            "postal_code": "530725721",
            "country_code": "US",
            "telephone_number": "262-347-8848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORESCO-GONIU PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "MORESCO-GONIU",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "262-347-8848",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1151-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39106900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Maria Moreno, LPC-IT
• Joseph Moreno
• Luz Stella Moreno, MD
• Samantha Moreno, NP
• Victor Moreno, PHD
• Carol Lynn Moresco-Goniu, PH.D.
• Cecilia R Moretti, M.D.
• Maleena Moretti
• Ravenne Morgan-Owens, RN
• Laurie Marie Morgan-Sajdowitz, LPN

• Clinical Psychologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.