DR. BYRON C BLOEMER PH.D.
NPI 1316081698
Psychologist in Mequon, WI

Active since February 19, 2007
11518 N PORT WASHINGTON RD STE 202, MEQUON, WI 53092(262) 244-6177(262) 299-3040 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2021, Jan 12, 2020, Nov 14, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Byron C Bloemer Ph.d. NPPES

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

DR. BYRON C BLOEMER PH.D. (NPI 1316081698) is an individual psychologist in Mequon, Wisconsin, licensed in Wisconsin (057-2140) and active in the NPI registry since February 2007. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1316081698
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. BYRON C BLOEMERCredential: PH.D.
Location Address11518 N PORT WASHINGTON RD STE 202Mequon, WI 53092-3443
Mailing Address1035 W Glen Oaks Ln, Ste. 110Mequon, WI 53092-3392 · (262) 240-0299 · Fax (262) 240-0308
Fax(262) 299-3040
Sole ProprietorNo
Enumeration DateFebruary 19, 2007
Last NPPES UpdateJune 15, 20214 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
NPI 1316081698 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 · 057-2140
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.
11518 N PORT WASHINGTON RD STE 202, Mequon, WI 53092

Secondary Practice Locations 3

Location 1W175N11081 Stonewood Dr Ste 212Germantown, WI 53022-4771 · Phone (262) 244-6177 ext. 103
Location 21035 W Glen Oaks Ln Ste 110Mequon, WI 53092-3392 · Phone (262) 244-6177
Location 317100 W North Ave Ste 300Brookfield, WI 53005-4436 · Phone (262) 244-6177 ext. 103

Other Identifiers 1

Medicaid100094192WI

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 (Professional)
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092
Counselor (Professional)
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092
Social Worker (Clinical)
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092
Counselor (Professional)
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092
Counselor (Professional)
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092
Counselor (Professional)
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092
Social Worker (Clinical)
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092
Counselor (Professional)
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092

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 Byron Bloemer's NPI number?

The NPI number for Byron Bloemer is 1316081698. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Where is Byron Bloemer located?

Byron Bloemer practices at 11518 N Port Washington Rd Ste 202, Mequon, WI 53092. The listed phone number is (262) 244-6177.

What is Byron Bloemer's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Byron Bloemer was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.