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

Mark La Fave

Individual provider Psychologist · NPI 1588121172

Mark La Fave is a Clinical Psychologist in Brown Deer, Wisconsin. Qualified in 2018, 8 years ago. Practices with Shorehaven Behavioral Health Inc, a 12-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
8
In the registry since
2019

Practice location Address checks out

3900 W Brown Deer Rd Ste 200
Brown Deer, WI 53209-1220
Phone: (414) 540-2170
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1588121172
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 1, 2019
Last updated in NPPESMarch 1, 2019
Mailing address3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Shorehaven Behavioral Health Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Brown Deer