JENNIFER BECKLEY (PHD) – Psychologist, NPI 1194289322

JENNIFER BECKLEY (PHD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 3649-57 (WI). The NPI Number for JENNIFER BECKLEY (PHD) is 1194289322

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER BECKLEY (PHD)
NPI
1194289322
Phone
(262) 719-1453
Address
1532 E BELLEVIEW PL
Enumeration Date
22 January 2019
Last Update Date
15 May 2020

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
8779069699
Graduation Year
2017 (9 years ago)
PAC ID
0840524609
Group Practice PAC ID
4284982166
Professional Enrollment ID
I20190627001970
Address ID
WI531881672WA2717XBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

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Provider Addresses for JENNIFER BECKLEY (PHD)

  • 1532, East Belleview Place, The East Side, Milwaukee, Milwaukee County, Wisconsin, 53211, United States

    MILWAUKEE, WI 532113956

    Phone: (262) 719-1453

    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: 2019-06-27

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
I20190627001970IClinical 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 53211)

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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: 4284982166View full group profile
NameSpecialtyState
Clinical PsychologistWI
Clinical Social WorkerWI
Clinical PsychologistWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Clinical PsychologistWI
-WI

Reviews

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Frequently asked questions

What is the registry number for JENNIFER BECKLEY (PHD)?
The registry entry for JENNIFER BECKLEY (PHD) shows NPI 1194289322.
Is JENNIFER BECKLEY (PHD) currently accepting referrals based on NPI status?
Registry metadata lists JENNIFER BECKLEY (PHD) as active.
What services align with JENNIFER BECKLEY (PHD)'s listing?
JENNIFER BECKLEY (PHD)'s public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
Can patients visit JENNIFER BECKLEY (PHD) in Milwaukee, Wisconsin?
For routing, start with Milwaukee, Wisconsin for JENNIFER BECKLEY (PHD), then verify phone and hours locally.
Who maintains JENNIFER BECKLEY (PHD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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