Organization · Type 2 NPI
Russ Kinkade Psy D SC
Clinic/Center · Mount Pleasant, WI
NPI number
1992195192
Active
Practice location
6214 Washington Ave, C-10
Mount Pleasant, WI 53406-3986
Fax (262) 878-9285
Mailing address
S55W29307 Holiday Point Dr
Waukesha, WI 53189-9026
Other practice locations
- 131 E Wisconsin Ave, Pewaukee, WI 53072-3471 · (262) 989-5228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 1296 (WI) |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5 other providers at this address
- Life Focus Counseling SCClinical Social Worker Racine, WI NPI 1538495775
- Nulife Therapy Services, LLCCommunity/Behavioral Health Agency Mount Pleasant, WI NPI 1811388721
- Barbara B. Mizer, MSW, LCSW, CSACClinical Social Worker Mount Pleasant, WI NPI 1467588590
- Barbara Gail Demilio, LCSWClinical Social Worker Mount Pleasant, WI NPI 1629696083
- Rosanne Katherine Poe, PSY.D.Clinical Psychologist Mount Pleasant, WI NPI 1780890475
Other clinic/center providers in Mount Pleasant
About NPI 1992195192
Russ Kinkade Psy D SC's National Provider Identifier is 1992195192, issued on Jan 27, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Mount Pleasant, WI. The record was last updated on Aug 1, 2025.