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

Bcs of Wisconsin SC

Organization Psychologist · NPI 1629579149

Bcs of Wisconsin SC is a Psychologist in Waukesha, Wisconsin. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
4

Practice location Address checks out

2717 N Grandview Blvd Ste 102
Waukesha, WI 53188-1672
Phone: (262) 513-0700
Fax: (262) 513-0707
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Psychologist Taxonomy 103T00000X
Physician Assistant Taxonomy 363A00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1629579149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Clemente — Administrative Director · (248) 859-3900
NPI enumeratedFebruary 21, 2018
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address39465 W 14 Mile Rd, Novi, MI 48377-1600

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