Individual provider Active NPI

Laura A Muggli, PSY.D.

  • Clinical Psychologist
  • Glendale, WI
National Provider Identifier
1952460495
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7435 Issued in FL
Practice address
5215 N Ironwood Rd Ste 202J1
Glendale, WI 53217-4915
Phone
(212) 787-7771
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 PY7435 FL Primary

Addresses

Primary practice location

5215 N Ironwood Rd Ste 202J1
Glendale, WI 53217-4915

Mailing address

10340 N Westport Cir
Mequon, WI 53092-5737
Phone (212) 787-7771

Other identifiers 1

IdentifierTypeStateIssuer
43-2115364OtherFLETIN NUMBER

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
017154NYMDMental Health Counselor
PY7435FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1952460495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10340 N WESTPORT CIR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925737",
            "telephone_number": "212-787-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N IRONWOOD RD STE 202J1",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174915",
            "telephone_number": "212-787-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGGLI",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ETIN NUMBER",
            "identifier": "43-2115364",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.