Organization Active NPI

Becker-Gibeau Psychological Services LLC

  • Clinical Psychologist
  • Mequon, WI
National Provider Identifier
1972756013
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2344-057 Issued in WI
Legal business name
BECKER-GIBEAU PSYCHOLOGICAL SERVICES LLC
Practice address
14135 N Cedarburg Rd
Suite 100
Mequon, WI 53097-1416
Phone
(262) 377-2006
Fax
(262) 377-5552
NPI assigned
Nov 3, 2008
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Carolyn Joy BeckerNPI 1043363815
Title
Psychologist
Phone
(262) 377-2006

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 2344-057 WI Primary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 2330-057 WI

Addresses

Primary practice location

14135 N Cedarburg Rd
Suite 100
Mequon, WI 53097-1416

Mailing address

14135 N Cedarburg Rd
Suite 100
Mequon, WI 53097-1416
Phone (262) 377-2006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260209000078 WI Part B Supplier - Clinic/Group Practice 1456415264 Receives reassigned benefits from 2 practitioners
Practice locations: Mequon, WI

National Provider Directory

National Provider Directory

Locations

1317 W Towne Square Rd
Ste 200
Mequon, WI 53092
Phone (262) 377-2006

14135 N Cedarburg Rd
Ste 100
Mequon, WI 53097
Phone (262) 377-2006

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1972756013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14135 N CEDARBURG RD",
            "address_2": "SUITE 100",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971416",
            "telephone_number": "262-377-2006",
            "fax_number": "262-377-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 N CEDARBURG RD",
            "address_2": "SUITE 100",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971416",
            "telephone_number": "262-377-2006",
            "fax_number": "262-377-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKER-GIBEAU PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "262-377-2006"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2344-057",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2330-057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.