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Midway Clinical Neuropsychologic Institute and Children'S Wellness Fou

Psychologist in Kenosha, WI · enumerated 2019 · authorized official Shellie Locke, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578023156

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Registry record

Entity type Organization (Type 2)
Legal business name Midway Clinical Neuropsychologic Institute and Children'S Wellness Fou
Practice address 1024 60th Street, Suite 5, Kenosha, WI, 53140
Fax (262) 455-2919
Enumeration date Mar 21, 2019
Last updated in NPPES Mar 21, 2019

Taxonomy & classification

103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers Secondary
103T00000X Psychologist Behavioral Health & Social Service Providers Primary

Authorized official

Name Shellie Locke
Title Chief Executive Officer

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Midway Clinical Neuropsychologic Institute and Children'S Wellness Fou?
The NPI for Midway Clinical Neuropsychologic Institute and Children'S Wellness Fou is 1578023156, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Midway Clinical Neuropsychologic Institute and Children'S Wellness Fou?
NPPES lists Shellie Locke (Chief Executive Officer) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-21.