OrganizationActive
Pediatric Psychology Associates LLC
NPI 1124193065 · Clinical Psychologist · Wauwatosa, WI
Provider details
- NPI number
- 1124193065
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tracy Pritzl, Director Owner(414) 476-9755
- License
- 613 057 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3636 N 124th St
3rd Floor
Wauwatosa, WI 53222-2125
Phone: (414) 476-9755
Fax: (414) 476-3413
Street-level locationGet directions
Mailing address
3636 N 124th St
Wauwatosa, WI 53222-2125
Other names (DBA / former)
- Doing business as
- Autism Behavioral Network
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2016-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.