Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eric D Seybold, PHD

Individual provider Clinical Psychologist · NPI 1427002211

Eric D Seybold, PHD is a Clinical Psychologist in Brookfield, Wisconsin. Qualified in 2001, 25 years ago. Practices with Christian Life Counseling LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
25
Licensed in
WI
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12690 W North Ave
Brookfield, WI 53005-4636
Phone: (262) 785-1008
Fax: (262) 785-0644
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2494-057 (WI)

Record details

NPI number1427002211
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESJanuary 15, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Christian Life Counseling Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Brookfield