MS. MARY CATHERINE ENDERLIN PSYD
NPI 1164625455
Psychologist - Clinical in Glendale, WI

Q: What is Mary Enderlin's NPI number?

The NPI number for Mary Enderlin is 1164625455. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Q: What is Mary Enderlin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Enderlin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 06, 2007

6110 N PORT WASHINGTON ROAD, THE CAMBRIDGE GROUP, GLENDALE, WI 53217(414) 332-7400(414) 963-6866 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Mary Catherine Enderlin Psyd NPPES

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

MS. MARY CATHERINE ENDERLIN PSYD (NPI 1164625455) is an individual clinical provider in Glendale, Wisconsin, licensed in Wisconsin (2247 057) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1164625455

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMS. MARY CATHERINE ENDERLINCredential: PSYD

Location Address6110 N PORT WASHINGTON ROAD, THE CAMBRIDGE GROUPGlendale, WI 53217

Mailing Address14330 Forest View LaneBrookfield, WI 53005 · (262) 782-9001 · Fax (414) 963-6866

Phone(414) 332-7400

Fax(414) 963-6866

Sole ProprietorNo

Enumeration DateJune 6, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164625455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WI · 2247 057

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.

6110 N PORT WASHINGTON ROAD, Glendale, WI 53217

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Other Identifiers 2

Medicare UPIND08812

Medicaid39765000WI

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 Mary Enderlin's NPI number?

The NPI number for Mary Enderlin is 1164625455. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Mary Enderlin located?

Mary Enderlin practices at 6110 N Port Washington Road The Cambridge Group, Glendale, WI 53217. The listed phone number is (414) 332-7400.

What is Mary Enderlin'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 Mary Enderlin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.