Active NPI
Medical Psychology Associates
- Clinical Psychologist
- Glendale, WI
National Provider Identifier
1982000758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 984-57
- Legal business name
- MEDICAL PSYCHOLOGY ASSOCIATES
- Practice address
- 6110 N Port Washington Rd
Glendale, WI 53217-4308 - Phone
- (414) 962-1000
- Fax
- (414) 963-6866
- NPI assigned
- Nov 6, 2014
- 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. Kelly Smerz, PH.D.
- Title
- Director
- Phone
- (414) 962-1000
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 984-57 | WI | Primary |
Addresses
Primary practice location
6110 N Port Washington Rd
Glendale, WI 53217-4308
Mailing address
6110 N Port Washington Rd
Glendale, WI 53217-4308
Phone (414) 962-1000
National Provider Directory
National Provider Directory- Tax ID family
- Medical Psychology Asso
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Glendale, WI
- NPI 1043307598
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Glendale, WI
- NPI 1477615631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415232000000",
"number": "1982000758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6110 N PORT WASHINGTON RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532174308",
"telephone_number": "414-962-1000",
"fax_number": "414-963-6866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6110 N PORT WASHINGTON RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532174308",
"telephone_number": "414-962-1000",
"fax_number": "414-963-6866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL PSYCHOLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-06",
"last_updated": "2014-11-06",
"status": "A",
"authorized_official_last_name": "SMERZ",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "414-962-1000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "984-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.