Colleen Mary Mortell, PH.D.
NPI 1194814269ActiveIndividual· Psychologist· Madison, WI
Psychologist (PH.D.) in Madison, Wisconsin, trained at University of Mississippi School of Medicine (class of 1995). Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1194814269 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Oct 12, 2006 |
| Last updated in NPPES | Aug 4, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 2035-057 | WI |
| Psychologist | 103T00000X | 2035 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WI) |
|---|
Education and affiliations
| Medical school | University of Mississippi School of Medicine |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Psychiatric Services SCMadison, WI · 20 clinicians
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