MAURICIO INFANTE (NPI# 1003875568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003875568 |
| Entity Type | Individual |
| Full Name | MAURICIO INFANTE |
| Credential | MD |
| Practice Address |
212 11th St S La Crosse WI 54601-4116 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 6083929555 |
| Practice Fax Number | 6083929432 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
43675 | MN | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
47638 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
212 11TH ST S |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-4116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356346621 | Jeffrey R Court | Social Worker | 212 11th St S, La Crosse, WI 54601-4116 | 2005-06-14 |
| 1376010256 | Ashley Lee Sammann | Social Worker | 212 11th St S, La Crosse, WI 54601-4397 | 2018-10-29 |
| 1780168765 | Courtney Mcalister | Clinical Neuropsychologist | 212 11th St S, La Crosse, WI 54601-4397 | 2018-09-17 |
| 1376026831 | Nicole Marie Sobkowiak | Counselor | 212 11th St S, La Crosse, WI 54601-4397 | 2018-09-11 |
| 1407207764 | Clare Marie Lewandowski | Psychologist | 212 11th St S, La Crosse, WI 54601 | 2016-06-28 |
| 1922461813 | Jordan Daniel Urbanek | Psychiatry & Neurology | 212 11th St S, La Crosse, WI 54601-4397 | 2016-03-30 |
| 1962861716 | Heather K Roellig | Counselor | 212 11th St S, La Crosse, WI 54601-4397 | 2016-02-22 |
| 1487037826 | Christine A Dean | Social Worker | 212 11th St S, La Crosse, WI 54601-4397 | 2015-07-02 |
| 1841606142 | Reka Furedi | Psychiatry & Neurology | 212 11th St S, La Crosse, WI 54601-4397 | 2014-07-08 |
| 1013328889 | Melissa Lea Thielman | Social Worker | 212 11th St S, La Crosse, WI 54601-4397 | 2014-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295056471 | Loucresie Nichelle Rupert | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601 | 2010-06-22 |
| 1295808921 | Paula A Bank | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601-5429 | 2006-11-17 |
| 1366448474 | Jennifer S Lahmann | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-23 |
| 1881699502 | Larry S Goodlund | Psychiatry & Neurology | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104384387 | Center for Emotional Wellness LLC. | Psychiatry & Neurology | W156n8327 Pilgrim Rd Ste 301, Menomonee Fls, WI 53051-3776 | 2019-03-06 |
| 1295000255 | Ilsa Bick | Psychiatry & Neurology | 1099 Highland Dr, Kohler, WI 53044-1306 | 2012-03-09 |
| 1215268453 | Richard Carl Zimmerman | Psychiatry & Neurology | 1282 E. Green Lake Dr., West Bend, WI 53090-9069 | 2010-01-28 |
| 1184800880 | William M Buzogany | Psychiatry & Neurology | W350 S1401 Waterville Road, Lad Lake Inc, Dousman, WI 53118 | 2008-01-14 |
| 1033300199 | Monika Drummond Roots | Psychiatry & Neurology | 3140 Oxford Rd, Madison, WI 53705-2224 | 2007-08-05 |
| 1598974321 | Marta Cristina Muller | Psychiatry & Neurology | 1941 N Battle Creek Rd, Oconomowoc, WI 53066-9468 | 2007-05-21 |
| 1164517082 | Moitreyee Bandyopadhyay Reddy | Psychiatry & Neurology | 9000 W.wisconsin Avenue, Milwaukee, WI 53201-1997 | 2006-10-04 |
| 1639182868 | Thomas E. Wright | Psychiatry & Neurology | 120 East Main Street, Cambridge, WI 53523-0548 | 2006-08-15 |
| 1447262183 | Neil P Fullan | Psychiatry & Neurology | 2475 University Ave Ste A, Green Bay, WI 54302-5099 | 2006-08-12 |
| 1396761276 | Robert Perzacki | Psychiatry & Neurology | 1820 Appleton Rd, Menasha, WI 54952-1110 | 2006-07-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.