Provider Type Icon

MS. NICHELLE D ROTHONG PHD NPI 1033443122


NPI Information

NPI: 1033443122
Provider Name: MS. NICHELLE D ROTHONG, PHD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Organization: AURORA MEDICAL GROUP INC

PECOS Registration: Yes

Address:
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI
ZIP 53215
Phone: (414) 385-1922
Get Directions

MS. Nichelle D Rothong, PHD is a clinical neuropsychologist in Milwaukee, WI with 10 years of experience. The provider is 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. MS. Nichelle D Rothong, PHD NPI is 1033443122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI
ZIP 53215-669
Phone: (414) 385-1922

The NPI 1033443122 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/23/2009 and was last updated on 12/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor764-226WISCONSINNo
2103T00000XPsychologist3383WISCONSINNo
3103G00000XClinical Neuropsychologist3383-57WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.