RIVERWALK PSYCHOTHERAPY ASSOCIATES, LLC (NPI# 1073687349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073687349 |
Entity Type | Organization |
Organization Name | RIVERWALK PSYCHOTHERAPY ASSOCIATES, LLC |
Other Organization Name | MIDWEST CENTER FOR HUMAN SERVICES |
Practice Address |
1110 N. Old World Third St. Suite 401 Milwaukee WI 53203 |
Practice Telephone | 4142240800 |
Practice Fax Number | 4142240883 |
Mailing Telephone | 6084233960 |
Mailing Fax Number | 6084237166 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2014-06-10 |
Authorized Official Name | SERENA COURTNEY CLARDIE (PARTNER/PSYCHOTHERAPIST) |
Authorized Official Telephone | 4142240800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 42184700 | 05 |
Other Name | Type Code |
---|---|
Midwest Center for Human Services | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598178170 | Riverwalk Psychotherapy Associates, LLC | Clinic/Center | 1110 N Old World 3rd St, Suite 401, Milwaukee, WI 53203-1100 | 2014-06-11 |
Street Address |
1110 N. OLD WORLD THIRD ST. SUITE 401 |
City | MILWAUKEE |
State | WI |
Zip Code | 53203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013463272 | Kameela Jackson | Registered Nurse | 606 E Juneaue Ave. 511812, Milwaukee, WI 53203 | 2016-08-28 |
1528239928 | Christina Marie Sauber | Physical Therapy Assistant | 111 W. Michigan Street, Milwaukee, WI 53203 | 2008-03-13 |
1720273493 | Michelle Lynn Vogel | Speech-Language Pathologist | 111 West Michigan St, Prostep/extendicare Healthservices, Milwaukee, WI 53203 | 2007-09-06 |
1265572564 | Eye Care of Wisconsin, Inc | Health Maintenance Organization | 740 North Plankinton Ave, #730b, Milwaukee, WI 53203 | 2007-02-07 |
1144793423 | Carissa Deanna Basile | Behavioral Analyst | 525 N 6th St, Milwaukee, WI 53203 | 2019-01-09 |
1275975807 | Sandra Eiler | Counselor | 633 W Wisconsin Ave, Suite 1810, Milwaukee, WI 53203 | 2013-07-24 |
1154693331 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 826 N Plankinton Ave Ste 100, Milwaukee, WI 53203 | 2012-02-02 |
1821277310 | Rosalie C Mackay | Community Health Worker | 111 W Michigan St, Prostep/extendicare Health Services, Milwaukee, WI 53203 | 2007-10-31 |
1023131240 | Gina G Negrette | Psychiatry & Neurology | 820 N Plankinton Ave, Milwaukee, WI 53203 | 2007-04-10 |
1255488292 | Melinda Hughes | Counselor | 1110 N Old World 3rd St, Suite 401, Milwaukee, WI 53203-1100 | 2007-01-04 |
Find all providers in zip 53203 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871769919 | Richard Winston Meyers | General Practice | 11050 Liberty Dr, Milwaukee, WI 53224-3630 | 2008-05-07 |
1144492273 | Amanda Courtney Reiswig | General Practice | 1233 N Mayfair Rd Ste 208, Milwaukee, WI 53226-3255 | 2008-03-28 |
1063496131 | Eldon J Swenson | General Practice | 620 S 76th St, Suite 240, Milwaukee, WI 53214-1599 | 2005-12-02 |
1467093864 | Der Yang | General Practice | 5800 W Burleigh St, Milwaukee, WI 53210-1516 | 2019-10-07 |
1821559550 | Kamal Sammy Al-shalby | General Practice | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2019-03-26 |
1659831816 | Rachel Louise Feltman-frank | General Practice | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2019-03-23 |
1518427145 | Zabrina Leann Ebert | General Practice | 8701 Watertown Plank Road, Milwaukee, WI 53226-0509 | 2019-03-20 |
1104323765 | Kayla Jean Schenheit | General Practice | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2018-04-10 |
1831621341 | Peter Devries | General Practice | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-04-03 |
1962934265 | Hannah M Reiland | General Practice | 8701 W Watertown Plank Rd, Department of Psychiatry and Behavioral Medicine, Milwaukee, WI 53226-3548 | 2017-03-28 |
Find all providers in MILWAUKEE |
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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.