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DR. KENNETH L GRIZZLE PHD
NPI 1912958737
Psychologist - Clinical Child & Adolescent in Brookfield, WI

Active since May 15, 2006PECOS Enrolled
80.46/100
CMS Quality Rating
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW, BROOKFIELD, WI 53005(262) 432-6600(262) 432-6604 Get Directions Write a Review

NPPES record last updated: November 21, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kenneth L Grizzle Phd NPPES

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

DR. KENNETH L GRIZZLE PHD (NPI 1912958737) is an individual clinical child & adolescent provider in Brookfield, Wisconsin, licensed in Wisconsin (2187) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912958737
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. KENNETH L GRIZZLECredential: PHD
Location Address13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHWBrookfield, WI 53005-4977
Mailing Address13800 W North Ave, Child Development Center Of ChwBrookfield, WI 53005-4977 · (262) 432-6600 · Fax (262) 432-6604
Phone(262) 432-6600
Fax(262) 432-6604
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateNovember 21, 2013
✔ NPI 1912958737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in WI · 2187
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
13800 W NORTH AVE, Brookfield, WI 53005
Open in Google Maps ↗

Other Identifiers 6

Other005000215GHumana
Medicare PIN73601 1987WI
Medicare UPINP15928
Medicaid1912958737WI
Medicare PIN60255 0087WI
Medicare PIN68086 0733WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth L Grizzle Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kenneth Grizzle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Specialty Group, Inc.
3.3 mi
Pediatrics
9000 W WISCONSIN AVE
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Childrens Specialty Group Inc
  • 424 clinicians in this Medicare group
NPI 1942970405 (414) 266-2000
The Medical College Of Wisconsin, Inc.
3.4 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

DR. MARK D SIMMS MD
Pediatrics (Neurodevelopmental Disabilities)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Waukesha County (262) 432-6600
AMY L MACK SINDELAR SLP
Speech-Language Pathologist
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER
BROOKFIELD, WI 53005
Waukesha County (262) 432-6600
RYAN SACOTTE
Dermatology
13800 W NORTH AVE
BROOKFIELD, WI 53005
Waukesha County (262) 754-4488
JAMES PATRICK RUSSELL MD
Dermatology
13800 W NORTH AVE, STE 100
BROOKFIELD, WI 53005
Waukesha County (262) 754-4488
JANE J MCSWEENEY ARNP
Nurse Practitioner (Pediatrics)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Waukesha County (262) 432-6600
MS. DAWN M ZAHRT PHD
Psychologist (Clinical Child & Adolescent)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Waukesha County (262) 432-6600
SAMANTHA L. WILSON PH.D.
Psychologist
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER
BROOKFIELD, WI 53005
Waukesha County (262) 432-6600
MR. ROBERT L SCHUM PHD
Psychologist (Clinical Child & Adolescent)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Waukesha County (262) 432-6626

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 Kenneth Grizzle's NPI number?

The NPI number for Kenneth Grizzle is 1912958737. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Kenneth Grizzle located?

Kenneth Grizzle practices at 13800 W North Ave Child Development Center Of Chw, Brookfield, WI 53005. The listed phone number is (262) 432-6600.

What is Kenneth Grizzle's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Kenneth Grizzle enrolled in Medicare?

Yes. Kenneth Grizzle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenneth Grizzle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Grizzle reassigns Medicare benefits to 2 organizations: Children's Specialty Group, Inc. (Milwaukee, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). Each 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 Kenneth Grizzle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Grizzle accept?

Health plans from Aspirus Health Plan list Kenneth Grizzle 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 Kenneth Grizzle was last updated on November 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.