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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: August 16, 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
Open in Google Maps ↗

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.

MRS. BARBARA B MIZER MSW,LCSW,CSAC
Social Worker (Clinical)
6214 WASHINGTON AVE, SUITE C10
MOUNT PLEASANT, WI 53406
Racine County (262) 989-6212
LIFE FOCUS COUNSELING SC
Social Worker (Clinical)
6214 WASHINGTON AVE, SUITE C-10
RACINE, WI 53406
Racine County (262) 989-6212
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
NULIFE THERAPY SERVICES, LLC
Community/Behavioral Health
6214 WASHINGTON AVE, SUITE C-3
MOUNT PLEASANT, WI 53406
Racine County (262) 456-3712

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.