Victoria S Loudon, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

DPI #61 Issued in WI

Practice address

1 1/2 W Geneva St
Elkhorn, WI 53121

Phone

(262) 723-3424

NPI assigned

Feb 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Behavioral Clinics, SC

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1144313859
  NPD (past)
• Credence Therapy Associates Inc

  dba Credence Therapy Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elkhorn, WI
  • NPI 1487648663
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972646966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ARBOR RIDGE DR",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531152961",
            "telephone_number": "262-728-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 1/2 W GENEVA ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "53121",
            "telephone_number": "262-723-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUDON",
        "first_name": "VICTORIA",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "DPI #61",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "350000108827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40972300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam D Lewis, PHARMD
• Zachary Ben Lewis, MD
• Karleen Liberto
• Amanda Lindner, RN
• Rabeea Rafiq Lodhra, MD
• Jeanne Luedtke
• Lutherdale Bible Camp, Inc. (Lutherdale)
• Ashley Lynch
• Mackenzie Maccaux
• Rossana M Madamba, MD

• Psychologist in Elkhorn, WI
• Providers in Elkhorn, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.