KEVIN J ROONEY (PSYD) – Psychologist, NPI 1215910310

KEVIN J ROONEY (PSYD) is a healthcare provider. based in La crosse, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 2272 (WI). The NPI Number for KEVIN J ROONEY (PSYD) is 1215910310

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN J ROONEY (PSYD)
NPI
1215910310
Phone
(608) 791-9555
Address
212 11TH ST S
Enumeration Date
22 November 2005
Last Update Date
5 April 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5344444562
Graduation Year
1999 (27 years ago)
PAC ID
9436108735
Group Practice PAC ID
1052729464
Professional Enrollment ID
I20050113000432
Address ID
WI547014458EA3703XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

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Provider Addresses for KEVIN J ROONEY (PSYD)

  • 212, 11th Street South, Washburn, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546014116

    Phone: (608) 791-9555

    Fax: (608) 791-9432

    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: 2005-01-13

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
I20050113000432IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour5919$0
90791Psychiatric diagnostic evaluation1212$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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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: 1052729464View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical Social WorkerMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorWI
Clinical Social WorkerWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

Is KEVIN J ROONEY (PSYD) listed with a National Provider Identifier?
Yes — KEVIN J ROONEY (PSYD) has NPI 1215910310 on file in the registry.
Is there an active status for KEVIN J ROONEY (PSYD)?
For scheduling context, KEVIN J ROONEY (PSYD) is shown as active in the registry.
What expertise is attributed to KEVIN J ROONEY (PSYD)?
KEVIN J ROONEY (PSYD)'s specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with KEVIN J ROONEY (PSYD)?
Directory geography for KEVIN J ROONEY (PSYD) centers on La Crosse, Wisconsin.
Does KEVIN J ROONEY (PSYD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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