DR. SHERYL L DOLEZAL PSYD
NPI 1497839872
Psychologist - Clinical in Milwaukee, WI

Active since October 24, 2006PECOS Enrolled
5555 N PORT WASHINGTON RD STE 300, MILWAUKEE, WI 53217(414) 962-6764(414) 962-6765 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Sheryl L Dolezal Psyd NPPES

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

DR. SHERYL L DOLEZAL PSYD (NPI 1497839872) is an individual clinical provider in Milwaukee, Wisconsin, licensed in Wisconsin (2353057) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1497839872
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHERYL L DOLEZALCredential: PSYD
Location Address5555 N PORT WASHINGTON RD STE 300Milwaukee, WI 53217-4928
Mailing Address5555 N Port Washington Rd Ste 300Milwaukee, WI 53217-4928 · (414) 962-6764 · Fax (414) 962-6765
Fax(414) 962-6765
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 24, 2006
Last NPPES UpdateMay 6, 2020
NPPES CertifiedMay 6, 2020
✔ NPI 1497839872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WI · 2353057
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.
5555 N PORT WASHINGTON RD STE 300, Milwaukee, WI 53217

Other Names 1

Other Name (5)Ms. Sheryl L Gonn Cilsw

Other Identifiers 1

Medicaid39782700WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sheryl L Dolezal Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911914981
PECOS Enrollment IDI20090121000473
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sheryl Dolezal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
5555 N PORT WASHINGTON RD STE 300
Glendale, WI 53217
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: North Shore Psychotherapy Associates Iii
  • 2 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
5555 N PORT WASHINGTON RD STE 300
Glendale, WI 53217
  • Reassigned Medicare billing, Wisconsin enrollment
  • 6 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53217 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
5555 N PORT WASHINGTON RD STE 300
GLENDALE, WI 53217
Psychologist (Clinical)
5555 N PORT WASHINGTON RD STE 300
GLENDALE, WI 53217
Counselor (Mental Health)
5555 N PORT WASHINGTON RD STE 300
MILWAUKEE, WI 53217
Psychologist (Clinical)
5555 N PORT WASHINGTON RD STE 300
GLENDALE, WI 53217
Counselor (Professional)
5555 N PORT WASHINGTON RD STE 300
GLENDALE, WI 53217
Student in an Organized Health Care Education/Training Program
5555 N PORT WASHINGTON RD STE 300
GLENDALE, WI 53217
Student in an Organized Health Care Education/Training Program
5555 N PORT WASHINGTON RD STE 300
GLENDALE, WI 53217
Student in an Organized Health Care Education/Training Program
5555 N PORT WASHINGTON RD STE 300
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 Sheryl Dolezal's NPI number?

The NPI number for Sheryl Dolezal is 1497839872. It was assigned to this individual provider in the NPPES registry on October 24, 2006. The provider is also known as Ms. Sheryl L Gonn Cilsw.

Where is Sheryl Dolezal located?

Sheryl Dolezal practices at 5555 N Port Washington Rd Ste 300, Milwaukee, WI 53217. The listed phone number is (414) 962-6764.

What is Sheryl Dolezal's specialty?

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

Is Sheryl Dolezal enrolled in Medicare?

Yes. Sheryl Dolezal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sheryl Dolezal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheryl Dolezal reassigns Medicare benefits to 2 organizations: North Shore Psychotherapy Associates IV (Glendale, WI) and North Shore Psychotherapy Associates IV (Glendale, WI). Each 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 Sheryl Dolezal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheryl Dolezal accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica, Network Health and Quartz and 1 other insurer list Sheryl Dolezal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sheryl Dolezal was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.