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Deactivated NPI 1215913207 Deactivated / Inactive NPI Female Practitioner

Dr. Phyllis Kasper , PhD

Psychologist - Cognitive & Behavioral • Two Rivers, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Phyllis Kasper has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 21, 2005
NPI Deactivation Date August 24, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Phyllis Kasper, PhD was a registered Psychologist - Cognitive & Behavioral practicing in Two Rivers, WI. Throughout an active medical career spanning 17 years, Dr. Kasper provided care at the practice location at 5300 MEMORIAL DR until profile deactivation on 2022-08-24.

Practice Location & Contact Primary Location

Practice Address

5300 Memorial Dr

Two Rivers, WI 542413923

Telephone 9207937420
Fax 9207937430
Associated Practice Facility / Clinic
🏢 Aurora Pharmacy Inc Facility NPI 1558395772

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Cognitive & Behavioral in Two Rivers, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Two Rivers, WI (21 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 - Cognitive & Behavioral Primary Specialty

NUCC Taxonomy Code: 103TB0200X

State License WI 770 057

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Practice Associates & Co-Workers

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

9 Associated Practitioners
Erica Dessart , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1174958193

Nurse Practitioner

Melissa Rukamp , MACC, LPC-IT

Counselor - Mental Health

NPI 1326460049

MACC, LPCIT

Pamela Masci , LCSW

Social Worker - Clinical

NPI 1336676360

Licensed Clinical Social Worker

Chanthorn Vu , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1356691836

Nurse Practitioner

Michelle Rusboldt , LCSW

Social Worker - Clinical

NPI 1366817165

Licensed Clinical Social Worker

Dr. Priscilla Hidalgo , MD

Psychiatry & Neurology - Psychiatry

NPI 1447416672

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 24, 2022

Record deactivated on August 24, 2022

NPI Profile Active July 09, 2010

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2010

Registered at 5300 MEMORIAL DR, TWO RIVERS, WI 542413923 (Tel: 9207937420)

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Updated Business Mailing Address July 09, 2010

Registered at 5300 MEMORIAL DR, TWO RIVERS, WI 542413923 (Tel: 9207937420)

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Provider Name / Credentials Updated July 09, 2010

Recorded as PHYLLIS KASPER, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2010

Psychologist (License #770 057 in WI)

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Initial NPI Registration & Enumeration December 21, 2005

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: 1215913207
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2005
Last Update: July 09, 2010
Deactivation Date: August 24, 2022

Mailing Address

5300 Memorial Dr

Two Rivers, WI 542413923

Phone: 9207937420

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

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