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

Russ Kinkade Psy D SC

Organization Clinic/Center · NPI 1992195192

Russ Kinkade Psy D SC is a Clinic/Center in Mount Pleasant, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2015
Specialties on file
2

Practice location Address checks out

6214 Washington Ave C-10
Mount Pleasant, WI 53406-3986
Phone: (262) 989-5228
Fax: (262) 878-9285
Show map & directions

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

Additional practice locations (1)

  • 131 E Wisconsin Ave, Pewaukee, WI 53072-3471 — (262) 989-5228

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 1296 (WI)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1992195192
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Kinkade — President · (262) 989-5228
NPI enumeratedJanuary 27, 2015
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing addressS55w29307 Holiday Point Dr, Waukesha, WI 53189-9026

Other providers in Mount Pleasant