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Active NPI 1548205685 Individual Practitioner Female Practitioner

Dr. Danielle E Sample , PsyD

Psychologist - Clinical • Pewaukee, WI

Professional Overview & Biography Verified Profile Summary

Dr. Danielle Sample, PsyD is a registered healthcare professional specializing in Psychologist - Clinical in Pewaukee, WI. Practice services are available at 161 W WISCONSIN AVE STE 2B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

161 W Wisconsin Ave Ste 2b

Pewaukee, WI 530723468

Telephone 2626958857
Fax 2626958879
Associated Practice Facility / Clinic
🏢 Lakefront Wellness Center, Sc Facility NPI 1316024847

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Pewaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Pewaukee, WI (762 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License WI 2476-057

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
40906600 (WI)
Commercial Insurance / Payer ID Bcbs
392929500010 (WI)

Practice Associates & Co-Workers

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

8 Associated Practitioners
Jessica Dawn Corey , LPC

Counselor - Professional

NPI 1114285202

Licensed Professional Counselor

Dr. Lori Pyter , PsyD

Psychologist - Clinical

NPI 1467462275

Doctor of Psychology (Psy.D.)

Jacqueline Borthwick

Psychologist - Clinical

NPI 1497208110
Nicole Herdegen , ATRL-BC

Counselor - Mental Health

NPI 1659665701

ATRLBC

Dr. Beth Johnson , PsyD

Psychologist - Clinical

NPI 1811925613

Doctor of Psychology (Psy.D.)

Dr. Ariane Machin , PhD

Psychologist - Counseling

NPI 1922318393

Doctor of Philosophy (Ph.D.)

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 161 W WISCONSIN AVE STE 2B, PEWAUKEE, WI 530723468 (Tel: 2626958857)

📍
Updated Business Mailing Address July 08, 2007

Registered at W243N5807 QUAIL RUN LN, SUSSEX, WI 530893680 (Tel: 2626958857)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DANIELLE SAMPLE, PSY.D.

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

Psychologist (License #2476-057 in WI)

🟢
Initial NPI Registration & Enumeration June 20, 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: 1548205685
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

W243n5807 Quail Run Ln

Sussex, WI 530893680

Phone: 2626958857

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.