Clint A Norris, MD
Individual provider Active NPI Psychiatry Physician · Sheboygan, WI
NPI 1992812366 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1992812366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 29160 (WI)
- Practice address
- 2414 Kohler Memorial Dr
Sheboygan, WI 53081 - Phone
- (920) 457-4461
- Fax
- (920) 459-1139
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29160 | WI | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 29160 | WI | Yes |
Addresses
Primary practice location
2414 Kohler Memorial Dr
Sheboygan, WI 53081
Mailing address
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (414) 647-6326
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32718000 | Medicaid | WI |
Other providers in Sheboygan, WI
- Meredith Nitka
- Robin Rae Nitsch
- John R Nonnweiler Jr.
- Elizabeth H Nora
- Anne Catherine Nord
- Northeast Wisconsin Spine Centers
- Northshore Clinic LLC
- Northshore Clinic of Sheboygan Inc
- Cynthia Peska Northup
- NSH Meadow View LLC
All providers in Sheboygan, WI · Psychiatry Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.