MIND-BODY PROGRAM
NPI 1104012244
Psychologist - Clinical in Wauwatosa, WI

Active since September 22, 2007
10855 W POTTER RD, WAUWATOSA, WI 53226(414) 407-6664(414) 302-1330 Get Directions Write a Review

NPPES record last updated: September 22, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mind-body Program NPPES

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

MIND-BODY PROGRAM (NPI 1104012244) is a healthcare organization registered as a clinical in Wauwatosa, Wisconsin and active in the NPI registry since September 2007. The organization lists Lauri Christine Gebhard, Psychologist, Director, as its authorized official.

NPPES Registry Identity

NPI1104012244
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLAURI GEBHARD
Location Address10855 W POTTER RDWauwatosa, WI 53226-3439
Mailing Address10855 W Potter RdWauwatosa, WI 53226-3439 · (414) 407-6664 · Fax (414) 302-1339
Fax(414) 302-1330
Organization SubpartYes
Authorized OfficialLauri Christine GebhardPsychologist, Director · (414) 407-6664
Enumeration DateSeptember 22, 2007
NPI 1104012244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in WI · 2028
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 ListedPsychologistTaxonomy 103T00000X · License 2028 (WI)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 2028 (WI)
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License 2028 (WI)
10855 W POTTER RD, Wauwatosa, WI 53226

Other Names 1

Doing Business AsMind-body Program

Other Identifiers 2

Medicare PIN84972WI
Medicaid39121000WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104012244, enumerated as an "organization" on September 22, 2007.

The provider is located at 10855 W POTTER RD WAUWATOSA, WI 53226 and the phone number is (414) 407-6664.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.