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ANDREA LABINE, PH.D LLC
NPI 1245688993
Psychologist - Clinical in Green Bay, WI

Active since June 02, 2016
1039 W MASON ST, 116, GREEN BAY, WI 54303(920) 965-7713(920) 496-7922 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrea Labine, Ph.d Llc NPPES

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

ANDREA LABINE, PH.D LLC (NPI 1245688993) is a healthcare organization registered as a clinical in Green Bay, Wisconsin and active in the NPI registry since June 2016. The organization lists Andrea Labine, Owner-clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1245688993
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameANDREA LABINE, PH.D LLC
Location Address1039 W MASON ST, 116Green Bay, WI 54303-1842
Mailing Address1039 W Mason St, 116Green Bay, WI 54303-1842 · (920) 965-7713 · Fax (920) 496-7922
Phone(920) 965-7713
Fax(920) 496-7922
Organization SubpartNo
Authorized OfficialAndrea LabineOwner-clinical Psychologist · (920) 965-7713
Enumeration DateJune 2, 2016
✔ NPI 1245688993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
1039 W MASON ST, Green Bay, WI 54303
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Labine, 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 Andrea Labine, Ph.D LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrea Labine, PH.D.
Clinical Psychologist
NPI 1952526352
1039 W MASON ST
Green Bay, WI 54303
(920) 965-7713
✔ PECOS✔ Accepts MedicareSame 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 Andrea Labine, Ph.D LLC's NPI number?

The NPI number for Andrea Labine, Ph.D LLC is 1245688993. It was assigned to this organization in the NPPES registry on June 2, 2016.

Where is Andrea Labine, Ph.D LLC located?

Andrea Labine, Ph.D LLC is located at 1039 W Mason St 116, Green Bay, WI 54303. The listed phone number is (920) 965-7713.

What is Andrea Labine, Ph.D LLC's specialty?

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

Is Andrea Labine, Ph.D LLC enrolled in Medicare?

Yes. Andrea Labine, Ph.D LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Andrea Labine, Ph.D LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Andrea Labine, 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 Andrea Labine, Ph.D LLC was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.