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Dr. Bernard L Green , PhD

Psychologist • Appleton, WI

Active NPI 1508850595 Individual Practitioner Male Practitioner
Practice location in NPPES

1531 S Madison St
Appleton, WI 549151800

Call 9207304411 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1531 S Madison St

Appleton, WI 549151800

Telephone 9207304411
Organization at the Same NPPES Address or Phone
Ascension Medical Group-Fox Valley Wisconsin, Inc Facility NPI 1508970633

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Appleton and Wisconsin

29 active clinicians are listed under Psychologist with a practice address in Appleton, WI (949 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

6.9% of these 29 clinicians have the CMS telehealth indicator.

24.1% of these 29 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES WI 1272

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
39042200 (WI)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
Sarah Brosman , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1285368449

Psychiatric-Mental Health Nurse Practitioner

Cathleen Cunningham , LCSW

Social Worker - Clinical

NPI 1245317833

Licensed Clinical Social Worker

Debra Franciosi , APNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043535354

Advanced Practice Nurse Prescriber

Kay Heimerl , LCSW

Social Worker - Clinical

NPI 1194909614

Licensed Clinical Social Worker

NPI 1427043835

Doctor of Philosophy (Ph.D.)

Abra Seidler

Nurse Practitioner - Psychiatric/Mental Health

NPI 1689063950

Career & Practice History

NPI enumerated September 06, 2005.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1508850595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2005
Last Update: September 02, 2008
Sole Proprietor: No

Other Psychologists in Appleton

All Psychologists in Appleton

Mailing Address

1531 S Madison St

Appleton, WI 549151800

Phone: 9207304411

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.