DR. LYNN ANN VICE PSYD
NPI 1124182738
Psychologist in Milwaukee, WI

Active since December 20, 2006Opted out of Medicare · through Jul 18, 2027
2350 N LAKE DR, SUITE 409, MILWAUKEE, WI 53211(414) 271-7442(414) 271-7530 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Lynn Ann Vice Psyd NPPES

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

DR. LYNN ANN VICE PSYD (NPI 1124182738) is an individual psychologist in Milwaukee, Wisconsin, licensed in Wisconsin (910) and active in the NPI registry since December 2006. She has opted out of Medicare through July 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124182738
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LYNN ANN VICECredential: PSYD
Location Address2350 N LAKE DR, SUITE 409Milwaukee, WI 53211-4528
Mailing Address2350 N Lake Dr, Suite 409Milwaukee, WI 53211-4528 · (414) 271-7442 · Fax (414) 271-7530
Fax(414) 271-7530
Sole ProprietorNo
Enumeration DateDecember 20, 2006
Last NPPES UpdateApril 10, 2013
NPI 1124182738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 910
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

2350 N LAKE DR, Milwaukee, WI 53211

Other Identifiers 1

Medicaid39026600WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Lynn Ann Vice Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 18, 2017 through July 18, 2027.

Opt-Out Effective DateJuly 18, 2017
Opt-Out In Effect ThroughJuly 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Clinical Cardiac Electrophysiology)
2350 N LAKE DR, STE 206
MILWAUKEE, WI 53211
Internal Medicine (Hematology & Oncology)
2350 N LAKE DR, SUITE 100
MILWAUKEE, WI 53211
Obstetrics & Gynecology
2350 N LAKE DR, SUITE 502
MILWAUKEE, WI 53211
Nurse Practitioner (Primary Care)
2350 N LAKE DR, SUITE 400
MILWAUKEE, WI 53211
Radiology (Radiation Oncology)
2350 N LAKE DR, SUITE G01
MILWAUKEE, WI 53211
Radiology (Radiation Oncology)
2350 N LAKE DR, RADIATION ONCOLOGY DEPT.
MILWAUKEE, WI 53211
Radiology (Radiation Oncology)
2350 N LAKE DR, SUITE G01
MILWAUKEE, WI 53211
Obstetrics & Gynecology
2350 N LAKE DR, SUITE 201
MILWAUKEE, WI 53211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124182738, enumerated as an "individual" on December 20, 2006.

The provider is located at 2350 N LAKE DR SUITE 409 MILWAUKEE, WI 53211 and the phone number is (414) 271-7442.

Psychologist with taxonomy code 103T00000X.

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