Individual provider Active NPI

Siobhan Gavagan, ED.S

  • School Psychologist
  • Milwaukee, WI
National Provider Identifier
1992612741
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
3600 W Hope Ave
Milwaukee, WI 53216-1761
Phone
(414) 875-6300
NPI assigned
Aug 26, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X WI Primary

Addresses

Primary practice location

3600 W Hope Ave
Milwaukee, WI 53216-1761

Mailing address

356 E Oklahoma Ave Apt 4
Milwaukee, WI 53207-2656
Phone (631) 942-6390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1992612741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 E OKLAHOMA AVE APT 4",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072656",
            "telephone_number": "631-942-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W HOPE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161761",
            "telephone_number": "414-875-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVAGAN",
        "first_name": "SIOBHAN",
        "name_prefix": "Ms.",
        "credential": "ED.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.