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PAUL LARSON M.D.
NPI 1124091749
Psychiatry & Neurology - Child & Adolescent Psychiatry in Waukesha, WI

Active since February 13, 2006PECOS Enrolled
721 AMERICAN AVENUE SUITE 501, PHC BEHAVIORAL MEDICINE CENTER, WAUKESHA, WI 53188(262) 928-2396(262) 544-1213 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul Larson M.d. NPPES

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

PAUL LARSON M.D. (NPI 1124091749) is an individual child & adolescent psychiatry provider in Waukesha, Wisconsin, licensed in Wisconsin (39093) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124091749
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NamePAUL LARSONCredential: M.D.
Location Address721 AMERICAN AVENUE SUITE 501, PHC BEHAVIORAL MEDICINE CENTERWaukesha, WI 53188
Mailing Address721 American Avenue Suite 501, Phc Behavioral Medicine CenterWaukesha, WI 53188 · (262) 928-2396 · Fax (262) 544-1213
Phone(262) 928-2396
Fax(262) 544-1213
Sole ProprietorNo
Enumeration DateFebruary 13, 2006
Last NPPES UpdateApril 25, 2012
✔ NPI 1124091749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in WI · 39093
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
721 AMERICAN AVENUE SUITE 501, Waukesha, WI 53188
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Other Identifiers 3

Medicare UPINH46225WI
Medicaid34096900WI
Medicare ID-Type Unspecified84767WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Larson M.d. 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.

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 Paul Larson's NPI number?

The NPI number for Paul Larson is 1124091749. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Paul Larson located?

Paul Larson practices at 721 American Avenue Suite 501 Phc Behavioral Medicine Center, Waukesha, WI 53188. The listed phone number is (262) 928-2396.

What is Paul Larson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Paul Larson enrolled in Medicare?

Yes. Paul Larson is registered in the Medicare PECOS enrollment system.

What insurance does Paul Larson accept?

Health plans from Quartz list Paul Larson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Larson was last updated on April 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.