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

MS. Nichelle D Rothong, PHD

Individual provider Psychologist · NPI 1033443122

MS. Nichelle D Rothong, PHD is a Clinical Psychologist in Milwaukee, Wisconsin. Qualified in 2014, 12 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2009
Specialties on file
3
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

2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3669
Phone: (414) 385-1922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 3383-57 (WI)
Psychologist Taxonomy 103T00000X · Licence 3383 (WI)
Counselor Taxonomy 101Y00000X · Licence 764-226 (WI)

Record details

NPI number1033443122
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 23, 2009
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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