MR. DOUG RYAN PULVERMACHER MS LPC
NPI 1508065582
Counselor - Professional in Milwaukee, WI

Q: What is Doug Pulvermacher's NPI number?

The NPI number for Doug Pulvermacher is 1508065582. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Q: What is Doug Pulvermacher's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Doug Pulvermacher was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 11, 2007

3903 W LISBON AVE, MILWAUKEE, WI 53208(414) 342-2060(414) 342-3663 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Doug Ryan Pulvermacher Ms Lpc NPPES

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

MR. DOUG RYAN PULVERMACHER MS LPC (NPI 1508065582) is an individual professional provider in Milwaukee, Wisconsin, licensed in Wisconsin (3427125) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1508065582

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. DOUG RYAN PULVERMACHERCredential: MS LPC

Location Address3903 W LISBON AVEMilwaukee, WI 53208

Mailing Address1244 N 68th Street, #207Wauwatosa, WI 53213 · (414) 750-5261

Phone(414) 342-2060

Fax(414) 342-3663

Sole ProprietorNo

Enumeration DateJuly 11, 2007

✔ NPI 1508065582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 3427125

3903 W LISBON AVE, Milwaukee, WI 53208

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Other Identifiers 1

Medicaid40952100WI

Other Providers at the Same Location NPPES

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

WILLOWGLEN ACADEMY, INC.

Day Training, Developmentally Disabled Services

3903 W LISBON AVE
MILWAUKEE, WI 53208

Milwaukee County (414) 342-2060

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 Doug Pulvermacher's NPI number?

The NPI number for Doug Pulvermacher is 1508065582. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Where is Doug Pulvermacher located?

Doug Pulvermacher practices at 3903 W Lisbon Ave, Milwaukee, WI 53208. The listed phone number is (414) 342-2060.

What is Doug Pulvermacher's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Doug Pulvermacher was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.