ALLISON ALLEN (PH.D.) – Clinical Psychologist, NPI 1013069228

ALLISON ALLEN (PH.D.) is a healthcare provider. based in Washburn, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 2376-057 (WI). The NPI Number for ALLISON ALLEN (PH.D.) is 1013069228

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
ALLISON ALLEN (PH.D.)
NPI
1013069228
Phone
(715) 373-0380
Address
809 W PINE ST
Enumeration Date
17 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
7153725001
Graduation Year
2000 (26 years ago)
PAC ID
5698750073
Group Practice PAC ID
0840366654
Professional Enrollment ID
I20040621000761
Address ID
WI548474690IR7665X2XXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

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Provider Addresses for ALLISON ALLEN (PH.D.)

  • 809, West Pine Street, DuPont Row, Washburn, Bayfield County, Wisconsin, 54891, United States

    WASHBURN, WI 548919530

    Phone: (715) 373-0380

    Fax: (715) 373-0381

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040621000761IClinical PsychologistWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54891)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840366654View full group profile
NameSpecialtyState
O P T O M E T R YPA
Physical Therapist In Private PracticeWI
Mental Health CounselorIL
Nurse PractitionerWI
Nurse PractitionerWI
Physician AssistantWI
O P T O M E T R YMD
Physician AssistantWI
Nurse PractitionerWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

Can I cross-check ALLISON ALLEN (PH.D.) using NPI 1013069228?
NPI 1013069228 belongs to ALLISON ALLEN (PH.D.); compare other details if you need extra assurance.
Is there an active status for ALLISON ALLEN (PH.D.)?
For scheduling context, ALLISON ALLEN (PH.D.) is shown as active in the registry.
What expertise is attributed to ALLISON ALLEN (PH.D.)?
ALLISON ALLEN (PH.D.)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with ALLISON ALLEN (PH.D.)?
Directory geography for ALLISON ALLEN (PH.D.) centers on Washburn, Wisconsin.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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