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

Dr. Shellie Dee Locke, PHD

Individual provider Clinical Neuropsychologist · NPI 1336319979

Dr. Shellie Dee Locke, PHD is a Clinical Psychologist in Kenosha, Wisconsin. Qualified in 1995, 31 years ago. Practices with Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc, a 554-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
31
Licensed in
IL, WI
In the registry since
2008
Specialties on file
4
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9020 15th Ave
Kenosha, WI 53143-6803
Phone: (708) 224-7442
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.007310 (IL)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 2660-057 (WI)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 071.007310 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2660-057 (WI)

Record details

NPI number1336319979
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 11, 2008
Last updated in NPPESMarch 11, 2008
Mailing address9020 15th Ave, Kenosha, WI 53143-6803

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc. — 554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kenosha