WENDY SERKETICH (PHD) – Clinical Psychologist, NPI 1225054869

WENDY SERKETICH (PHD) is a healthcare provider. based in Glendale, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 2038-57 (WI). The NPI Number for WENDY SERKETICH (PHD) is 1225054869

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
WENDY SERKETICH (PHD)
NPI
1225054869
Phone
(414) 962-4048
Address
5900 N PORT WASHINGTON RD
Enumeration Date
15 July 2006
Last Update Date
16 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4149624048
Graduation Year
1995 (31 years ago)
PAC ID
6406036847
Group Practice PAC ID
1456256023
Professional Enrollment ID
I20110202000475
Address ID
WI532076158MI5007XAVEX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

Provider Addresses for WENDY SERKETICH (PHD)

  • 5900, North Port Washington Road, Glendale, Milwaukee County, Wisconsin, 53217, United States

    SUITE 230

    GLENDALE, WI 53217

    Phone: (414) 962-4048

    Fax: (414) 962-4052

    Type: Mailing

  • 5007 S HOWELL AVE STE 350

    MILWAUKEE, WI 532076159

    Phone: (262) 999-3495

    Type: Mailing

  • 2901, West Kinnickinnic River Parkway, Southgate, Milwaukee, Milwaukee County, Wisconsin, 53215, United States

    SUITE 206

    MILWAUKEE, WI 53215

    Phone: (414) 962-4048

    Fax: (414) 385-0545

    Type: Location

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: 2011-02-02

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
I20110202000475IClinical 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
90834Psychotherapy, 45 minutes9615$0
90837Psychotherapy, 1 hour4712$0
View full utilization report →

Insurance plans in this area (ZIP 53217)

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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: 1456256023View full group profile
NameSpecialtyState
Mental Health CounselorWI
Marriage And Family TherapistWI
-WI
Mental Health CounselorWI
Nurse PractitionerIL
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorAZ
Mental Health CounselorWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for WENDY SERKETICH (PHD)?
WENDY SERKETICH (PHD) — NPI 1225054869 — is the standard way to identify this listing.
Can I rely on WENDY SERKETICH (PHD) being an active provider?
As of the registry snapshot, WENDY SERKETICH (PHD) is marked active.
What healthcare role does WENDY SERKETICH (PHD) hold?
Scheduling teams often label WENDY SERKETICH (PHD) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for WENDY SERKETICH (PHD)?
WENDY SERKETICH (PHD)'s geographic hint is Glendale, Wisconsin in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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