MEDICAL PSYCHOLOGY ASSOCIATES, INC.


Address: 6110 N Port Washington Rd, Glendale, WI 53217-4308
Phone: 4149621000

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 6110 N PORT WASHINGTON RD
City GLENDALE
State WI
Zip Code 53217-4308

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295393296 Ila Debra Christmas Clinic/Center 67-29 Myrtle Avenue, Glendale, NY 11385 2019-06-04
1578001731 Eastside Mental Health Group Inc Clinic/Center 800 S Central Ave Ste 307, Glendale, CA 91204-4644 2017-02-08
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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Competitor

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City GLENDALE
Zip Code 53217

Improve Information

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Dataset Information

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.

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