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

Mark La Fave

Individual provider Psychologist · NPI 1588121172

Mark La Fave is a Clinical Psychologist in Brown Deer, Wisconsin. Qualified in 2018, 8 years ago. Practices with Shorehaven Behavioral Health Inc, a 12-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
8
In the registry since
2019

Practice location Address checks out

3900 W Brown Deer Rd Ste 200
Brown Deer, WI 53209-1220
Phone: (414) 540-2170
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1588121172
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 1, 2019
Last updated in NPPESMarch 1, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Shorehaven Behavioral Health Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Brown Deer