Kelly Duggan Consultation Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2783-57 Issued in WI

Legal business name

KELLY DUGGAN CONSULTATION SERVICES, LLC

Practice address

14135 N Cedarburg Rd
Mequon, WI 53097-1416

Phone

(414) 801-8700

NPI assigned

Jun 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Kay Duggan, PSYDNPI 1164657409

Title

Clinical Psychologist

Phone

(414) 801-8700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

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

• Kelly Kay Duggan, PSYD

  • Clinical Psychologist
  • Mequon, WI
  • NPI 1164657409
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1992154231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14135 N CEDARBURG RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971416",
            "telephone_number": "414-801-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 N CEDARBURG RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971416",
            "telephone_number": "414-801-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY DUGGAN CONSULTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "414-801-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2783-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Kautz, APNP
• Austin Donald Carl Kayser, MD
• Kazco Inc
• Christopher Kearns, MD
• Heidi N. Keller, PA-C
• Bailey Kelly, LAT
• Maria Kelly, PT
• Michael E Kemp, CSAC, NCAC I
• Christina C Keppel, MD
• Lori L. Kessenich, P.T.

• Clinical Psychologist in Mequon, WI
• Providers in Mequon, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.