Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316014079 Individual Practitioner Male Practitioner

Thomas Groh

Psychologist • Menasha, WI

Professional Overview & Biography Verified Profile Summary

Thomas Groh is a registered healthcare professional specializing in Psychologist in Menasha, WI. Practice services are available at 1095 MIDWAY RD under active NPI credentials.

Frequently performed procedures and clinical services include psychiatric diagnostic evaluation, psychological or neuropsychological test administration and scoring by single standardized instrument via electronic platform with automated result, psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1095 Midway Rd

Menasha, WI 549521115

Telephone 9207202300
Associated Practice Facility / Clinic
🏢 Thedacare, Incorporated Facility NPI 1306959515

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Menasha, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Menasha, WI (1000 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
21 20 $503.39 $139.77
96146 Psychological or neuropsychological test administration and scoring by single standardized instrument via electronic platform with automated result
17 17 $5.25 $1.82
90832 Psychotherapy, 30 minutes
14 13 $218.59 $68.46

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WI 614-057

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
39007500 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Darlene Leary

Counselor - Addiction (Substance Use Disorder)

NPI 1003976473
Yong Li

Psychiatry & Neurology - Psychiatry

NPI 1003977836
Lisa Bredael

Counselor

NPI 1003978859
Lynne Drews

Counselor - Addiction (Substance Use Disorder)

NPI 1023177193
NPI 1043101991
Jill Cisar

Social Worker - Clinical

NPI 1043494578

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1095 MIDWAY RD, MENASHA, WI 549521115 (Tel: 9207202300)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 8003, APPLETON, WI 549128003 (Tel: 9209963298)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS GROH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #614-057 in WI)

🟢
Initial NPI Registration & Enumeration November 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316014079
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 8003

Appleton, WI 549128003

Phone: 9209963298

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.