ERIC LARSON PH.D
NPI 1386763902
Clinical Neuropsychologist in Milwaukee, WI

Q: What is Eric Larson's NPI number?

The NPI number for Eric Larson is 1386763902. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Q: What is Eric Larson's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Larson was last updated on December 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2007PECOS Enrolled

5000 W NATIONAL AVE, MILWAUKEE, WI 53295(414) 384-2000 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2024, Jul 10, 2024, Jul 1, 2024 (3 updates tracked since 2024).

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About Eric Larson Ph.d NPPES

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

ERIC LARSON PH.D (NPI 1386763902) is an individual clinical neuropsychologist in Milwaukee, Wisconsin, licensed in Wisconsin (2808) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1386763902

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameERIC LARSONCredential: PH.D

Location Address5000 W NATIONAL AVEMilwaukee, WI 53295-3522

Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 955-0660 · Fax (414) 955-0076

Phone(414) 384-2000

Sole ProprietorNo

Enumeration DateMarch 28, 2007

Last NPPES UpdateDecember 9, 20243 updates tracked since enumeration

NPPES CertifiedDecember 9, 2024

✔ NPI 1386763902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in WI · 2808

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 2808 (WI)

5000 W NATIONAL AVE, Milwaukee, WI 53295

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Secondary Practice Location 1

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 955-8997

Other Identifiers 2

Medicaid071006762IL

Medicaid1386763902WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Medica, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric Larson Ph.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

DR. NATALIA SCHWARTZ PHARM.D, RPH

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)