MIDWAY CLINICAL NEUROPSYCHOLOGIC INSTITUTE AND CHILDREN'S WELLNESS FOU
NPI 1578023156
Psychologist in Kenosha, WI

Active since March 21, 2019
1024 60TH STREET, SUITE 5, KENOSHA, WI 53140(262) 455-2919(262) 455-2919 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Midway Clinical Neuropsychologic Institute And Children's Wellness Fou NPPES

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

MIDWAY CLINICAL NEUROPSYCHOLOGIC INSTITUTE AND CHILDREN'S WELLNESS FOU (NPI 1578023156) is a healthcare organization registered as a psychologist in Kenosha, Wisconsin and active in the NPI registry since March 2019. The organization lists Shellie D. Locke, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1578023156
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMIDWAY CLINICAL NEUROPSYCHOLOGIC INSTITUTE AND CHILDREN'S WELLNESS FOU
Location Address1024 60TH STREET, SUITE 5Kenosha, WI 53140-4099
Mailing AddressP.o. Box 684Kenosha, WI 53141-0684 · (262) 455-2919 · Fax (262) 455-2919
Fax(262) 455-2919
Organization SubpartNo
Authorized OfficialShellie D. LockeChief Executive Officer · (262) 455-2919
Enumeration DateMarch 21, 2019
NPI 1578023156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
1024 60TH STREET, Kenosha, WI 53140

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Midway Clinical Neuropsychologic Institute And Children's Wellness Fou's NPI number?

The NPI number for Midway Clinical Neuropsychologic Institute And Children's Wellness Fou is 1578023156. It was assigned to this organization in the NPPES registry on March 21, 2019.

Where is Midway Clinical Neuropsychologic Institute And Children's Wellness Fou located?

Midway Clinical Neuropsychologic Institute And Children's Wellness Fou is located at 1024 60th Street Suite 5, Kenosha, WI 53140. The listed phone number is (262) 455-2919.

What is Midway Clinical Neuropsychologic Institute And Children's Wellness Fou'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 Midway Clinical Neuropsychologic Institute And Children's Wellness Fou was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.