JAMES JEFFREY CRISCO PH.D. NPI 1013172600

NPI Information

  • NPI: 1013172600
  • Provider Name: JAMES JEFFREY CRISCO, PH.D.
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Individual
  • Address: 3636 N 124TH ST
    SUITE 200
    WAUWATOSA, WI
    ZIP 53222
  • Phone: (414) 476-9755

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NPI Details

James Jeffrey Crisco, PH.D. is a clinical child and adolescent psychologist in Wauwatosa, WI. The provider is 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. James Jeffrey Crisco, PH.D. NPI is 1013172600. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3636 N 124TH ST
SUITE 200
WAUWATOSA, WI
ZIP 53222-125
Phone: (414) 476-9755
Fax: (414) 476-3413

The enumeration date for this NPI number is 7/23/2008 and was last updated on 4/22/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC2200XPsychologistClinical Child & Adolescent613-057WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
139010900MEDICAIDWISCONSIN

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: 3/30/2025

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