Unknown Individual – Psychiatry Physician, NPI 1710987987
Psychiatry Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
721, American Avenue, Waukesha, Waukesha County, Wisconsin, 53188, United States
SUITE 501
WAUKESHA, WI 531885071
Phone: (262) 928-4036
Fax: (262) 928-5096
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)
CMS reports 3 Open Payments records for all available years, with a total value of $57.
Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.
Last reported payment date: 2023-02-15 • Largest payer in this snapshot: Lundbeck LLC ($22).
Total Amount
$57
General + Research + Ownership
Payments
3
Total payment records
General Amount
$57
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $22 |
| Axsome Therapeutics, Inc. | $17 |
| Neurocrine BioSciences, Inc. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 49 | $0 |
Insurance plans in this area (ZIP 53188)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| P S Y C H I A T R Y | OH | |
| - | WI | |
| Clinical Social Worker | WI | |
| - | WI | |
| Mental Health Counselor | WI | |
| - | WI | |
| Mental Health Counselor | WI | |
| Nurse Practitioner | WI | |
| - | WI |
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