Active NPI
Laura A Muggli, PSY.D.
- Clinical Psychologist
- Glendale, WI
National Provider Identifier
1952460495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7435
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43-2115364 | Other | FL | ETIN 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
| License | State | Type | Specialty |
|---|---|---|---|
| 017154 | NY | MD | Mental Health Counselor |
| PY7435 | FL | MD | Clinical 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.