DR. MERVIN R SMUCKER PH.D.
NPI 1215094917
Psychologist - Clinical in Milwaukee, WI

Active since January 02, 2007
6110 N PORT WASHINGTON RD, MILWAUKEE, WI 53217(414) 403-4949(574) 537-0567 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mervin R Smucker Ph.d. NPPES

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

DR. MERVIN R SMUCKER PH.D. (NPI 1215094917) is an individual clinical provider in Milwaukee, Wisconsin, licensed in Wisconsin (1538-057) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1215094917
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MERVIN R SMUCKERCredential: PH.D.
Location Address6110 N PORT WASHINGTON RDMilwaukee, WI 53217-4308
Mailing Address109 Carter RdGoshen, IN 46526-5201 · (414) 403-4949 · Fax (574) 537-0567
Fax(574) 537-0567
Sole ProprietorYes
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1215094917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in WI · 1538-057 Licensed in IN · 20041542
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 RD, Milwaukee, WI 53217

Other Identifiers 1

Medicare ID-Type Unspecified84338WI

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.

Counselor (Mental Health)
6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
Clinic/Center (Adult Mental Health)
6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
Psychologist (Counseling)
6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
Psychologist (Counseling)
6110 N PORT WASHINGTON RD
MILWAUKEE, WI 53217
Counselor (Mental Health)
6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
Counselor (Professional)
6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
Psychologist (Group Psychotherapy)
6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
Clinical Neuropsychologist
6110 N PORT WASHINGTON RD
GLENDALE, WI 53217

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 Mervin Smucker's NPI number?

The NPI number for Mervin Smucker is 1215094917. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Mervin Smucker located?

Mervin Smucker practices at 6110 N Port Washington Rd, Milwaukee, WI 53217. The listed phone number is (414) 403-4949.

What is Mervin Smucker'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 Mervin Smucker 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.