Active NPI
Judith B Krings, PH.D.
- Clinical Psychologist
- Manitowoc, WI
National Provider Identifier
1962637868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 753 057
- Practice address
- 21 E Waldo Blvd
Manitowoc, WI 54220-2905 - Phone
- (920) 683-3220
- Fax
- (920) 683-3017
- NPI assigned
- May 20, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 753 057 | WI | Primary |
Addresses
Primary practice location
21 E Waldo Blvd
Manitowoc, WI 54220-2905
Mailing address
1407 Memorial Dr
Manitowoc, WI 54220-6707
Phone (920) 682-9119
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 753 057 | WI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Management, SC | Past | Accepting new patients | |
| Riverhill Psychological Associates, S.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Manitowoc, WI
- NPI 1841850849
-
- Durable Medical Equipment & Medical Supplies
- Evansville, IN
- NPI 1669832655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1962637868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 MEMORIAL DR",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542206707",
"telephone_number": "920-682-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 E WALDO BLVD",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542202905",
"telephone_number": "920-683-3220",
"fax_number": "920-683-3017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRINGS",
"first_name": "JUDITH",
"middle_name": "B",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-20",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "753 057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.