MEDICAL PSYCHOLOGY ASSOCIATES, INC. (NPI# 1043307598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043307598 |
Entity Type | Organization |
Organization Name | MEDICAL PSYCHOLOGY ASSOCIATES, INC. |
Practice Address |
6110 N Port Washington Rd Glendale WI 53217-4308 |
Practice Telephone | 4149621000 |
Practice Fax Number | 4149636866 |
Mailing Telephone | 4149621000 |
Mailing Fax Number | 4149636866 |
Enumeration Date | 2006-10-06 |
Last Update Date | 2013-05-07 |
Authorized Official Name | DR. KELLY E SMERZ (DIRECTOR/PRESIDENT) |
Authorized Official Telephone | 4149621000 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
2653-057 | WI | Ambulatory Health Care Facilities |
Street Address |
6110 N PORT WASHINGTON RD |
City | GLENDALE |
State | WI |
Zip Code | 53217-4308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932146172 | Diane Marie Mosnik | Clinical Neuropsychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2006-05-31 |
1902317993 | Cheryl Ann Honeycutt | Registered Nurse | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2017-10-17 |
1770012056 | Strong Home Care and Companions | Home Health | 6110 N Port Washington Rd, Suite 3, Glendale, WI 53217 | 2017-06-08 |
1205388600 | Kate Halbach | Counselor | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2016-11-01 |
1013369271 | Rebecca Zimmermann | Counselor | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2016-07-11 |
1982000758 | Medical Psychology Associates | Psychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2014-11-06 |
1477871267 | Janet Helen Mcclintock | Counselor | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2010-05-04 |
1902093289 | The Cambridge Group | Community/Behavioral Health | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2007-10-01 |
1245425354 | Neurobehavioral Health Clinic | Psychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2007-09-11 |
1780892026 | Marty Sapp | Psychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2007-05-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
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Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
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1548808405 | Mcgady & Associates Psychological Services Plc | Clinic/Center | 4425 W Olive Ave Ste 151a, Glendale, AZ 85302-3843 | 2019-12-11 |
1649752627 | Akos Behavioral Health, LLC | Clinic/Center | 5104 N 67th Ave, Glendale, AZ 85301-6541 | 2018-09-05 |
1598251233 | Liz Gustafson Psychotherapy | Clinic/Center | 450 N Brand Blvd Ste 600, Glendale, CA 91203-2349 | 2018-07-05 |
1902209992 | Pacific Health Medical Group | Clinic/Center | 319 S Brand Blvd, Glendale, CA 91204-1701 | 2014-10-03 |
1295162626 | Kaufman Integrated Healthcare, LLC | Clinic/Center | 17505 N 79th Ave, Suite 315, Glendale, AZ 85308-8725 | 2013-09-30 |
1912175217 | Life Healing Center | Clinic/Center | 7155 W Campo Bello Dr, Suite B160, Glendale, AZ 85308-8590 | 2008-02-20 |
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1730748724 | Molly Lubin Md LLC | Clinic/Center | 16 N Carroll St Ste 450-c, Madison, WI 53703-2716 | 2019-06-12 |
1346702826 | Kris Huenink Counseling Services LLC | Clinic/Center | 501 N 8th St Ste 110, Sheboygan, WI 53081-4461 | 2019-04-03 |
1720550981 | Purple Lotus Counseling LLC | Clinic/Center | 516 E Wisconsin Ave Ste C, Appleton, WI 54911-4864 | 2018-12-27 |
1831677079 | Creative Calm Counseling LLC | Clinic/Center | 2380 State Road 44 Ste G, Oshkosh, WI 54904-6440 | 2018-07-31 |
1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
1730530239 | Home Away From Home Living Services LLC | Clinic/Center | 8127 W Herbert Ave, Milwaukee, WI 53218-3632 | 2016-06-26 |
1891149928 | Tcg Holdings 14, LLC | Clinic/Center | 127 N Franklin St Ste 206, Port Washington, WI 53074-1948 | 2016-04-14 |
1427410992 | Shelley Boehm Mattia Md,adult Psychiatry, LLC | Clinic/Center | 428 Doty St, Green Bay, WI 54301-4509 | 2016-03-24 |
1982002242 | Family & Childrens Center | Clinic/Center | 920 W Wisconsin St, Sparta, WI 54656-4217 | 2014-12-18 |
1154675924 | Northshore Clinic LLC | Clinic/Center | 805 N 6th St, Sheboygan, WI 53081-4113 | 2012-11-01 |
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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.