Keley Autin, PHD is a
Psychologist based in Fox Point, Wisconsin. Keley Autin is licensed to practice in Wisconsin (license number 413557) and her current practice location is
221 W Suburban Dr, Fox Point, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(772) 240-9031.
NPI number for Keley Autin is 1225900418 and her current mailing address is 2400 E Hartford Ave # 791, Milwaukee, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225900418.
Healthcare Provider's Profile
Full Name | Keley Autin |
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Gender | Female |
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Speciality | Psychologist |
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Location | 221 W Suburban Dr, Fox Point, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225900418
- Provider Enumeration Date: 09/18/2025
- Last Update Date: 09/18/2025
Medical Identifiers
Medical identifiers for Keley Autin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225900418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 413557 (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. Keley Autin 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 Address | Practice Location Address |
Keley Autin, PHD 2400 E Hartford Ave # 791, Milwaukee, WI 53211-3159 Ph: (772) 240-9031 | Keley Autin, PHD 221 W Suburban Dr, Fox Point, WI 53217-2300 Ph: (772) 240-9031 |
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