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

Waukesha County

Organization Psychologist · NPI 1629292651

Waukesha County is a Psychologist in Waukesha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
6

Practice location Address checks out

1501 Airport Rd
Waukesha, WI 53188-3632
Phone: (262) 548-7950
Fax: (262) 970-4791
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 907 (WI)
Psychologist Taxonomy 103T00000X · Licence 907 (WI)
Specialist Taxonomy 174400000X · Licence 907 (WI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 907 (WI)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 907 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 907 (WI)

Record details

NPI number1629292651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Derosier — Credentialing Specialist · (262) 548-8431
Other names Waukesha County (Mhc Inpatient Dr); Waukesha County (Mhc Inpatient Dr)
NPI enumeratedApril 12, 2007
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address514 Riverview Ave, Attn: Fiscal Department, Waukesha, WI 53188-3632

Other providers in Waukesha