Russ Kinkade Psy D Sc
NPI 1992195192 · Clinic/Center · Mount Pleasant, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Russ Kinkade Psy D Sc is a Clinic/Center organization in Mount Pleasant, WI (NPI 1992195192).
Provider details
- NPI number
- 1992195192
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Russell Kinkade, President(262) 989-5228
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 131 E Wisconsin AvePewaukee, WI 53072-3471Phone: (262) 989-5228
Registry dates
- Enumerated
- 2015-01-27
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Frequently asked questions
- What is Russ Kinkade Psy D Sc's NPI number?
- Russ Kinkade Psy D Sc's National Provider Identifier (NPI) is 1992195192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Russ Kinkade Psy D Sc?
- Russ Kinkade Psy D Sc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Russ Kinkade Psy D Sc located?
- Russ Kinkade Psy D Sc's practice location on file with NPPES is 6214 Washington Ave, Mount Pleasant, WI 53406-3986.
- What is Russ Kinkade Psy D Sc's phone number?
- The practice phone number listed in the NPPES registry for Russ Kinkade Psy D Sc is (262) 989-5228.
- Does Russ Kinkade Psy D Sc accept Medicare?
- Russ Kinkade Psy D Sc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Russ Kinkade Psy D Sc?
- The authorized official listed on Russ Kinkade Psy D Sc's NPPES record is Russell Kinkade, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Russ Kinkade Psy D Sc's NPI active?
- Yes — Russ Kinkade Psy D Sc's NPI (1992195192) is active in the NPPES registry as of the last update on 2025-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.