Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Russell William Kinkade Jr., PSYD

Individual provider Clinical Psychologist · NPI 1033295571

Dr. Russell William Kinkade Jr., PSYD is a Clinical Psychologist in Racine, Wisconsin. Qualified in 1985, 41 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
41
Licensed in
WI
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

6214 Washington Ave Ste C 10
Racine, WI 53406
Phone: (262) 989-5228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 131 E Wisconsin Ave Ste 101, Pewaukee, WI 53072-3400 — (262) 989-5228

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1296 (WI)

Record details

NPI number1033295571
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedOctober 27, 2006
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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