DR. KELLY M GUSTAVSON-MATTEK PSY.D.
NPI 1750471314
Psychologist in Elkhorn, WI
About Dr. Kelly M Gustavson-mattek Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY M GUSTAVSON-MATTEK PSY.D. (NPI 1750471314) is an individual psychologist in Elkhorn, Wisconsin, licensed in Wisconsin (2533-057) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Muskego.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kelly M Gustavson-mattek Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELKHORN, WI 53121
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 Kelly Gustavson-mattek's NPI number?
The NPI number for Kelly Gustavson-mattek is 1750471314. It was assigned to this individual provider in the NPPES registry on October 13, 2006. The provider is also known as Kelly M Gustavson.
Where is Kelly Gustavson-mattek located?
Kelly Gustavson-mattek practices at 1910 County Road Nn, Elkhorn, WI 53121. The listed phone number is (262) 741-3200.
What is Kelly Gustavson-mattek's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Kelly Gustavson-mattek enrolled in Medicare?
Yes. Kelly Gustavson-mattek is registered in the Medicare PECOS enrollment system.
What insurance does Kelly Gustavson-mattek accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica, Quartz and UnitedHealthcare list Kelly Gustavson-mattek 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 Kelly Gustavson-mattek was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.