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RUSS KINKADE PSY D SC
NPI 1992195192
Clinic/Center in Mount Pleasant, WI

Active since January 27, 2015
6214 WASHINGTON AVE, C-10, MOUNT PLEASANT, WI 53406(262) 989-5228(262) 878-9285 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Russ Kinkade Psy D Sc NPPES

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

RUSS KINKADE PSY D SC (NPI 1992195192) is a healthcare organization registered as a clinic/center in Mount Pleasant, Wisconsin and active in the NPI registry since January 2015. The organization maintains a secondary practice location in Pewaukee and lists Russell William Kinkade, President, as its authorized official.

NPPES Registry Identity

NPI1992195192
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameRUSS KINKADE PSY D SC
Location Address6214 WASHINGTON AVE, C-10Mount Pleasant, WI 53406-3986
Mailing AddressS55w29307 Holiday Point DrWaukesha, WI 53189-9026 · (262) 989-5228 · Fax (262) 878-9285
Phone(262) 989-5228
Fax(262) 878-9285
Organization SubpartNo
Authorized OfficialRussell William KinkadePresident · (262) 989-5228
Enumeration DateJanuary 27, 2015
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1992195192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in WI · 1296
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
6214 WASHINGTON AVE, Mount Pleasant, WI 53406
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Secondary Practice Location 1

Location 1131 E Wisconsin AvePewaukee, WI 53072-3471 · Phone (262) 989-5228

Other Providers at the Same Location NPPES 5

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

LIFE FOCUS COUNSELING SC
Social Worker (Clinical)
6214 WASHINGTON AVE, SUITE C-10
RACINE, WI 53406
Racine County (262) 989-6212
MRS. BARBARA B MIZER MSW,LCSW,CSAC
Social Worker (Clinical)
6214 WASHINGTON AVE, SUITE C10
MOUNT PLEASANT, WI 53406
Racine County (262) 989-6212
NULIFE THERAPY SERVICES, LLC
Community/Behavioral Health
6214 WASHINGTON AVE, SUITE C-3
MOUNT PLEASANT, WI 53406
Racine County (262) 456-3712
BARBARA GAIL DEMILIO LCSW
Social Worker (Clinical)
6214 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 456-3712
DR. ROSANNE KATHERINE POE PSY.D.
Psychologist (Clinical)
6214 WASHINGTON AVE, SUITE C-6
MOUNT PLEASANT, WI 53406
Racine County (262) 763-7249

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 Russ Kinkade Psy D Sc's NPI number?

The NPI number for Russ Kinkade Psy D Sc is 1992195192. It was assigned to this organization in the NPPES registry on January 27, 2015.

Where is Russ Kinkade Psy D Sc located?

Russ Kinkade Psy D Sc is located at 6214 Washington Ave C-10, Mount Pleasant, WI 53406. The listed phone number is (262) 989-5228.

What is Russ Kinkade Psy D Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Russ Kinkade Psy D Sc was last updated on August 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.