MYLES TONNACLIFF PH.D, LLC
NPI 1235666017
Clinic/Center - Mental Health (Including Community Mental Health Center) in Cedarburg, WI

Active since May 11, 2017
W62N248 WASHINGTON AVE, SUITE 208, CEDARBURG, WI 53012(262) 618-2856 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Myles Tonnacliff Ph.d, Llc NPPES

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

MYLES TONNACLIFF PH.D, LLC (NPI 1235666017) is a healthcare organization registered as a mental health (including community mental health center) in Cedarburg, Wisconsin and active in the NPI registry since May 2017. The organization lists Myles D Tonnacliff, Licesed Psychologist- Owner, as its authorized official.

NPPES Registry Identity

NPI1235666017
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMYLES TONNACLIFF PH.D, LLC
Location AddressW62N248 WASHINGTON AVE, SUITE 208Cedarburg, WI 53012-2768
Mailing AddressW62n248 Washington Ave, Suite 208Cedarburg, WI 53012-2768 · (414) 617-2663
Organization SubpartNo
Authorized OfficialMyles D TonnacliffLicesed Psychologist- Owner · (262) 618-2856
Enumeration DateMay 11, 2017
✔ NPI 1235666017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in WI · 2163-57
W62N248 WASHINGTON AVE, Cedarburg, WI 53012

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myles Tonnacliff Ph.d, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Myles Tonnacliff Ph.D, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1942335260
W62N248 WASHINGTON AVE STE 208
Cedarburg, WI 53012
(262) 618-2856
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Myles Tonnacliff Ph.D, LLC's NPI number?

The NPI number for Myles Tonnacliff Ph.D, LLC is 1235666017. It was assigned to this organization in the NPPES registry on May 11, 2017.

Where is Myles Tonnacliff Ph.D, LLC located?

Myles Tonnacliff Ph.D, LLC is located at W62n248 Washington Ave Suite 208, Cedarburg, WI 53012. The listed phone number is (262) 618-2856.

What is Myles Tonnacliff Ph.D, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Myles Tonnacliff Ph.D, LLC enrolled in Medicare?

Yes. Myles Tonnacliff Ph.D, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Myles Tonnacliff Ph.D, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Myles Tonnacliff Ph.D, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Myles Tonnacliff Ph.D, LLC was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.