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RUSSELL WIESTON BRETHAUER PSYD.
NPI 1023062528
Psychologist - Clinical in Elm Grove, WI

Active since May 19, 2006PECOS Enrolled
700 PILGRIM PKWY, SUITE 201, ELM GROVE, WI 53122(262) 785-5557(262) 785-5586 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Russell Wieston Brethauer Psyd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL WIESTON BRETHAUER PSYD. (NPI 1023062528) is an individual clinical provider in Elm Grove, Wisconsin, licensed in Wisconsin (983) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023062528
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameRUSSELL WIESTON BRETHAUERCredential: PSYD.
Location Address700 PILGRIM PKWY, SUITE 201Elm Grove, WI 53122-2063
Mailing Address700 Pilgrim Pkwy, Suite 201Elm Grove, WI 53122-2063 · (262) 785-5557 · Fax (262) 785-5586
Phone(262) 785-5557
Fax(262) 785-5586
Sole ProprietorYes
Enumeration DateMay 19, 2006
Last NPPES UpdateOctober 18, 2007
✔ NPI 1023062528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WI · 983
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 185 (WI)
700 PILGRIM PKWY, Elm Grove, WI 53122
Open in Google Maps ↗

Other Identifiers 1

Medicaid39027200WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell Wieston Brethauer Psyd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHYOGA INC
Clinic/Center (Physical Therapy)
700 PILGRIM PKWY, SUITE L9
ELM GROVE, WI 53122
Waukesha County (414) 467-6102
COLE JAMES VAN NUYS
Occupational Therapist
700 PILGRIM PKWY
ELM GROVE, WI 53122
Waukesha County (262) 796-2850
MEGAN BIELINSKI L.AC., MSTOM
Acupuncturist
700 PILGRIM PKWY, SUITE L8
ELM GROVE, WI 53122
Waukesha County (262) 289-1950
MR. MARK G SNYDER PT
Physical Therapist
700 PILGRIM PKWY, SUITE 203
ELM GROVE, WI 53122
Waukesha County (262) 796-2850
MRS. VIRGINIA MARIE JURKEN PT
Physical Therapist
700 PILGRIM PKWY, SUITE L9
ELM GROVE, WI 53122
Waukesha County (414) 467-6102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Brethauer's NPI number?

The NPI number for Russell Brethauer is 1023062528. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Russell Brethauer located?

Russell Brethauer practices at 700 Pilgrim Pkwy Suite 201, Elm Grove, WI 53122. The listed phone number is (262) 785-5557.

What is Russell Brethauer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Russell Brethauer enrolled in Medicare?

Yes. Russell Brethauer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Russell Brethauer was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.