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

Eric D Seybold, PHD

Individual provider Clinical Psychologist · NPI 1427002211

Eric D Seybold, PHD is a Clinical Psychologist in Brookfield, Wisconsin. Qualified in 2001, 25 years ago. Practices with Christian Life Counseling LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
25
Licensed in
WI
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

12690 W North Ave
Brookfield, WI 53005-4636
Phone: (262) 785-1008
Fax: (262) 785-0644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2494-057 (WI)

Record details

NPI number1427002211
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESJanuary 15, 2018
Mailing address12630 W North Ave, Bldg E, Brookfield, WI 53005-4626

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Christian Life Counseling Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Brookfield