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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: August 09, 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
Phone(414) 407-6664
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
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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 NPPES & CMS

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

What is Lauri Gebhard's NPI number?

The NPI number for Lauri Gebhard is 1104012244. It was assigned to this organization in the NPPES registry on September 22, 2007. The provider is doing business as Mind-Body Program.

Where is Lauri Gebhard located?

Lauri Gebhard is located at 10855 W Potter Rd, Wauwatosa, WI 53226. The listed phone number is (414) 407-6664.

What is Lauri Gebhard's specialty?

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

When was this NPI record last updated?

The NPPES record for Lauri Gebhard was last updated on September 22, 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.