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WISCONSIN PSYCHOLOGY ASSOCIATES, LLC
NPI 1639830151
Psychologist - Health Service in Burlington, WI

Active since January 06, 2022
318 MARGARET CT, BURLINGTON, WI 53105(812) 201-3912 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2022, Jan 6, 2022 (2 updates tracked since 2022).

About Wisconsin Psychology Associates, Llc NPPES

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

WISCONSIN PSYCHOLOGY ASSOCIATES, LLC (NPI 1639830151) is a healthcare organization registered as a health service in Burlington, Wisconsin and active in the NPI registry since January 2022. The organization lists Rosita Fernandez, Owner/psychologist, as its authorized official.

NPPES Registry Identity

NPI1639830151
Entity TypeOrganization
Primary Taxonomy103TH0100X
Legal Business NameWISCONSIN PSYCHOLOGY ASSOCIATES, LLC
Location Address318 MARGARET CTBurlington, WI 53105-2330
Mailing Address318 Margaret CtBurlington, WI 53105-2330
Phone(812) 201-3912
Organization SubpartNo
Authorized OfficialRosita FernandezOwner/psychologist · (812) 201-3912
Enumeration DateJanuary 6, 2022
Last NPPES UpdateFebruary 9, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2022
✔ NPI 1639830151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
318 MARGARET CT, Burlington, WI 53105
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Other Identifiers 2

Medicaid1376062851WI
Medicaid300007198ININ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wisconsin Psychology Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wisconsin Psychology Associates, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rosita Fernandez
Clinical Psychologist
NPI 1376062851
318 MARGARET CT
Burlington, WI 53105
(812) 201-3912
✔ PECOS✔ Accepts MedicareSame address

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

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 Wisconsin Psychology Associates, LLC's NPI number?

The NPI number for Wisconsin Psychology Associates, LLC is 1639830151. It was assigned to this organization in the NPPES registry on January 6, 2022.

Where is Wisconsin Psychology Associates, LLC located?

Wisconsin Psychology Associates, LLC is located at 318 Margaret Ct, Burlington, WI 53105. The listed phone number is (812) 201-3912.

What is Wisconsin Psychology Associates, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Wisconsin Psychology Associates, LLC enrolled in Medicare?

Yes. Wisconsin Psychology Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wisconsin Psychology Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Wisconsin Psychology Associates, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wisconsin Psychology Associates, LLC accept?

Health plans from CareSource (Common Ground Healthcare) and HealthPartners list Wisconsin Psychology Associates, LLC 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 Wisconsin Psychology Associates, LLC was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.