James Jeffrey Crisco, PHD - Psychologist in Wauwatosa, WI

James Jeffrey Crisco, PHD is a Psychologist - Clinical Child & Adolescent based in Wauwatosa, Wisconsin. James Jeffrey Crisco is licensed to practice in Wisconsin (license number 613-057) and his current practice location is 3636 N 124th St, Suite 200, Wauwatosa, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (414) 476-9755.

NPI number for James Jeffrey Crisco is 1013172600 and his current mailing address is 3636 N 124th St, Suite 200, Wauwatosa, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013172600.

Contact Information

James Jeffrey Crisco, PHD
3636 N 124th St, Suite 200,
Wauwatosa, WI 53222-2125
(414) 476-9755
(414) 476-3413



Healthcare Provider's Profile

Full NameJames Jeffrey Crisco
GenderMale
SpecialityPsychologist - Clinical Child & Adolescent
Location3636 N 124th St, Wauwatosa, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013172600
  • Provider Enumeration Date: 07/23/2008
  • Last Update Date: 04/22/2009

Medical Identifiers

Medical identifiers for James Jeffrey Crisco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013172600NPI-NPPES
39010900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent 613-057 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James Jeffrey Crisco is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
James Jeffrey Crisco, PHD
3636 N 124th St, Suite 200,
Wauwatosa, WI 53222-2125

Ph: (414) 476-9755
James Jeffrey Crisco, PHD
3636 N 124th St, Suite 200,
Wauwatosa, WI 53222-2125

Ph: (414) 476-9755

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› Verified 5 days ago


Psychologist in Wauwatosa, WI

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