Mark Eberhage, PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MARK EBERHAGE, PHD LLC

Practice address

1532 E Belleview PL
Milwaukee, WI 53211-3956

Phone

(414) 293-2733

NPI assigned

Mar 2, 2026

Organization subpart

No

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

Authorized official

Name

Mark G Eberhage, PHDNPI 1477544526

Title

Owner

Phone

(414) 293-2733

Specialties & licenses 1

Addresses

Practitioners 4

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

• Mark Gerhard Eberhage, PHD

  • Psychologist
  • Milwaukee, WI
  • NPI 1477544526
  NPD Authorized official
• Kim Ann Heim, APNP

  • Nurse Practitioner
  • Milwaukee, WI
  • NPI 1295967511
  NPD (past)
• Virginia Margaret Krueger - Thor, APNP

  • Nurse Practitioner
  • Milwaukee, WI
  • NPI 1306292685
  NPD (past)
• Stacy L Simenz, ANP-BC

  • Adult Health Nurse Practitioner
  • Milwaukee, WI
  • NPI 1336479393
  NPD (past)

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1992650378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 E BELLEVIEW PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113956",
            "telephone_number": "414-293-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 E BELLEVIEW PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113956",
            "telephone_number": "414-293-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK EBERHAGE, PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "EBERHAGE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-293-2733",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion Family Dental Clinic
• Marion Transportation Company
• Denise Grebe Maris, FNP-BC APNP
• Christina Mariyam Joy, MD
• Mark B. Smuckler MD LTD
• Mark F Blake MD, SC
• Mark P Hastings, DPM, SC
• Mark R Aschliman, M.D., S.C.
• Mark S. Mandel, D.D.S., S.C.
• Laura Kay Mark-Quispe, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.