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

North Shore Psychotherapy Associates IV

Organization Clinical Psychologist · NPI 1194809574

North Shore Psychotherapy Associates IV is a Clinical Psychologist in Glendale, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

5555 N Port Washington Rd Ste 300
Glendale, WI 53217-4928
Phone: (414) 962-6764
Fax: (414) 962-6765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Clinical Psychologist Taxonomy 103TC0700X

Record details

NPI number1194809574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheryl Dolezal — Co Director · (414) 962-6764
Other names Nspa; Nspa
NPI enumeratedOctober 24, 2006
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023
Mailing address5555 N Port Washington Rd Ste 300, Glendale, WI 53217-4928

Other providers in Glendale