MICHELLE LOMAN MOUDRY PH.D.
NPI 1962819706
Clinical Neuropsychologist in Milwaukee, WI

Q: What is Michelle Loman Moudry's NPI number?

The NPI number for Michelle Loman Moudry is 1962819706. It was assigned to this individual provider in the NPPES registry on July 14, 2014. The provider is also known as Michelle Loman Ph.D..

Q: What is Michelle Loman Moudry's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since July 14, 2014PECOS Enrolled

9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-9248 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michelle Loman Moudry Ph.d. NPPES

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

MICHELLE LOMAN MOUDRY PH.D. (NPI 1962819706) is an individual clinical neuropsychologist in Milwaukee, Wisconsin and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962819706

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameMICHELLE LOMAN MOUDRYCredential: PH.D.

Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522

Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 805-9248

Phone(414) 805-9248

Sole ProprietorNo

Enumeration DateJuly 14, 2014

Last NPPES UpdateAugust 29, 2014

✔ NPI 1962819706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 3182-57 (WI)

9200 W WISCONSIN AVE, Milwaukee, WI 53226

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Other Names 1

Professional Name (2)Michelle Loman Ph.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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)

Michelle Loman Moudry Ph.d. 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.

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.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM

Advanced Practice Midwife

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-4777

DR. ZACHARY SMITH DO

Internal Medicine (Gastroenterology)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-6830

DR. COLLEEN ANN CROWE M.D., M.P.H.

Emergency Medicine

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6469

ROBERTO MEJIAS APNP

Nurse Practitioner (Pediatrics)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6600

MRS. ANNE E B LAKATOS APN-BC, APNP, RN

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

MRS. AMANDA M MANDERS APNP

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

KATHLEEN A WATERHOUSE-SKIBICKI CRNA

Nurse Anesthetist, Certified Registered

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-5951

ANDREA L BEQUEST PA

Physician Assistant (Medical)

9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-0350

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 Michelle Loman Moudry's NPI number?

The NPI number for Michelle Loman Moudry is 1962819706. It was assigned to this individual provider in the NPPES registry on July 14, 2014. The provider is also known as Michelle Loman Ph.D..

Where is Michelle Loman Moudry located?

Michelle Loman Moudry practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-9248.

What is Michelle Loman Moudry's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Michelle Loman Moudry enrolled in Medicare?

Yes. Michelle Loman Moudry is registered in the Medicare PECOS enrollment system.

What insurance does Michelle Loman Moudry accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica and 2 other insurers list Michelle Loman Moudry 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 Michelle Loman Moudry was last updated on August 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.