DR. GARY DANIEL KENDZIORSKI PH.D.
NPI 1730277617
Psychologist - Clinical in Lannon, WI

Q: What is Gary Kendziorski's NPI number?

The NPI number for Gary Kendziorski is 1730277617. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Gary Kendziorski's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gary Kendziorski was last updated on July 8, 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 October 10, 2006

20943 W GOOD HOPE RD, LANNON, WI 53046(262) 250-3331 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Dr. Gary Daniel Kendziorski Ph.d. NPPES

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

DR. GARY DANIEL KENDZIORSKI PH.D. (NPI 1730277617) is an individual clinical provider in Lannon, Wisconsin, licensed in Wisconsin (1043-057) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1730277617

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. GARY DANIEL KENDZIORSKICredential: PH.D.

Location Address20943 W GOOD HOPE RDLannon, WI 53046-9770

Mailing Address20943 W Good Hope RoadLannon, WI 53046 · (262) 250-3331

Phone(262) 250-3331

Sole ProprietorNo

Enumeration DateOctober 10, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1730277617 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 · 1043-057

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.

20943 W GOOD HOPE RD, Lannon, WI 53046

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Other Identifiers 3

Medicare UPINR60553WI

Medicare ID-Type Unspecified000084930-0006WI

Medicaid39043400WI

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 Gary Kendziorski's NPI number?

The NPI number for Gary Kendziorski is 1730277617. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Gary Kendziorski located?

Gary Kendziorski practices at 20943 W Good Hope Rd, Lannon, WI 53046. The listed phone number is (262) 250-3331.

What is Gary Kendziorski's specialty?

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

When was this NPI record last updated?

The NPPES record for Gary Kendziorski was last updated on July 8, 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.