DR. GORDON LEE LARSEN PH. D
NPI 1750520524
Psychologist in Milwaukee, WI

Active since February 18, 2009
2600 N MAYFAIR RD STE 785, MILWAUKEE, WI 53226(414) 258-5704(414) 258-8406 Get Directions Write a Review

NPPES record last updated: February 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gordon Lee Larsen Ph. D NPPES

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

DR. GORDON LEE LARSEN PH. D (NPI 1750520524) is an individual psychologist in Milwaukee, Wisconsin, licensed in Wisconsin (50-057) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1750520524
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. GORDON LEE LARSENCredential: PH. D
Location Address2600 N MAYFAIR RD STE 785Milwaukee, WI 53226-1327
Mailing Address2600 N Mayfair Road, Suite 785Milwaukee, WI 53226-1327 · (414) 258-5704 · Fax (414) 258-8406
Fax(414) 258-8406
Sole ProprietorNo
Enumeration DateFebruary 18, 2009
NPI 1750520524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 50-057
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.
2600 N MAYFAIR RD STE 785, Milwaukee, WI 53226

Other Providers at the Same Location NPPES 2

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

Psychologist
2600 N MAYFAIR RD STE 785
WAUWATOSA, WI 53226
Counselor (Mental Health)
2600 N MAYFAIR RD STE 785
WAUWATOSA, WI 53226

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 Gordon Larsen's NPI number?

The NPI number for Gordon Larsen is 1750520524. It was assigned to this individual provider in the NPPES registry on February 18, 2009.

Where is Gordon Larsen located?

Gordon Larsen practices at 2600 N Mayfair Rd Ste 785, Milwaukee, WI 53226. The listed phone number is (414) 258-5704.

What is Gordon Larsen'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 Gordon Larsen was last updated on February 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.