Organization Active NPI

Robert Chucka PSYD LLC

  • Psychologist
  • Milwaukee, WI
National Provider Identifier
1962867812
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2469-57 Issued in WI
Legal business name
ROBERT CHUCKA PSYD LLC
Practice address
3364 S 11TH St
Milwaukee, WI 53215-5133
Phone
(414) 285-6456
Fax
(414) 285-6456
NPI assigned
Dec 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Dr. Robert A Chucka, PSYDNPI 1225057540
Title
Psychologist/Sole Proprietor
Phone
(414) 285-6456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 2469-57 WI Primary

Addresses

Primary practice location

3364 S 11TH St
Milwaukee, WI 53215-5133

Mailing address

3364 S 11TH St
Milwaukee, WI 53215-5133
Phone (414) 285-6456

Other identifiers 2

IdentifierTypeStateIssuer
42197700MedicaidWI
1225057540OtherWINPI 1 (PERSONAL)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160218000446 WI Part B Supplier - Clinic/Group Practice 7719282458 Receives reassigned benefits from 1 practitioner
Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

250 E Wisconsin Ave
Ste 1800
Milwaukee, WI 53202
Phone (414) 289-7154

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1962867812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3364 S 11TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532155133",
            "telephone_number": "414-285-6456",
            "fax_number": "414-285-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3364 S 11TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532155133",
            "telephone_number": "414-285-6456",
            "fax_number": "414-285-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT CHUCKA PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "CHUCKA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "414-285-6456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2469-57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42197700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1 (PERSONAL)",
            "identifier": "1225057540",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.