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

Dr. John Walter Lace, PHD

Individual provider Psychologist · NPI 1528705050

Dr. John Walter Lace, PHD is a Clinical Psychologist in Holmen, Wisconsin. Qualified in 2020, 6 years ago. Practices with St Lukes Methodist Hospital, a 80-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Wisconsin.

Years since qualifying
6
Licensed in
IA, WI
In the registry since
2022
Specialties on file
6
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1303 Main St S
Holmen, WI 54636-8927
Phone: (608) 785-0940
Show map & directions

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

Additional practice locations (2)

  • 1026 A Ave Ne, Cedar Rapids, IA 52402 — (319) 369-7211
  • 1821 S Webster Ave, Green Bay, WI 54301-2253 — (920) 272-1610

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 5000-57 (WI)
Psychologist Taxonomy 103T00000X · Licence 5000-57 (WI)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 110965 (IA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 5000-57 (WI)
Health Service Psychologist Taxonomy 103TH0100X · Licence 126559 (IA)
Psychologist Taxonomy 103T00000X · Licence 110965 (IA)

Record details

NPI number1528705050
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 17, 2022
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025
Mailing addressP O Box 860912, Minneapolis, MN 55486-0912

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Lukes Methodist Hospital — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare