Healthcare Provider Details

I. General information

NPI: 1558426999
Provider Name (Legal Business Name): THOMAS SCOT LEHMANN PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13035 W BLUEMOUND RD SUITE 100
BROOKFIELD WI
53005-8001
US

IV. Provider business mailing address

13035 W BLUEMOUND RD STE 100
BROOKFIELD WI
53005-8001
US

V. Phone/Fax

Practice location:
  • Phone: 262-784-1121
  • Fax: 414-425-5113
Mailing address:
  • Phone: 262-784-1121
  • Fax: 262-784-9777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1480-057
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1480-057
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number1480-057
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number1480-057
License Number StateWI
# 5
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1480-057
License Number StateWI
# 6
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number1480-57
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: