Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Children's Hospital of Wisconsin, Inc

Organization Psychologist · NPI 1275961021

Children's Hospital of Wisconsin, Inc provides Psychologist services in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in
WI
In the registry since
2013
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9000 W Wisconsin Ave Pain Clinic And Headache Clinic
Milwaukee, WI 53226-4874 Not confirmed with CMS for 12 years — call before visiting
Phone: (414) 266-3133
Fax: (414) 266-1761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X
Psychologist Taxonomy 103T00000X · Licence 3186-57 (WI)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 662-124 (WI)

Record details

NPI number1275961021
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChildren's Hospital of Wisconsin, Inc
Authorized official Weldon Gage — Treasurer/Chief Financial Officer · (414) 266-6401
Other names Chw Pain And Headache Clinic
NPI enumeratedOctober 14, 2013
Last updated in NPPESSeptember 25, 2014
Mailing address9000 W Wisconsin Ave, Mail Station 958 - Sheila Reuteman, Milwaukee, WI 53226-4874

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