Active NPI
Robert Chucka PSYD LLC
- Psychologist
- Milwaukee, WI
National Provider Identifier
1962867812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2469-57
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert A Chucka, PSYD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42197700 | Medicaid | WI | |
| 1225057540 | Other | WI | NPI 1 (PERSONAL) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160218000446 | WI | Part B Supplier - Clinic/Group Practice | 7719282458 |
Receives reassigned benefits from 1 practitioner Practice locations: Milwaukee, WI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- Milwaukee, WI
- NPI 1225057540
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.