KATHLEEN ANNE CLARKE (NPI# 1093838047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093838047 |
| Entity Type | Individual |
| Full Name | KATHLEEN ANNE CLARKE |
| Practice Address |
1506 S Oneida St Appleton WI 54915-1305 |
| Practice Telephone | 9207382681 |
| Mailing Telephone | 9207382681 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2262-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39132100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407315724 | Kathleen Clarke | Counselor | 1315 Leedom Rd, Havertown, PA 19083-4803 | 2019-03-16 |
| 1376844340 | Kathleen Marie Clarke | Social Worker | 92 Brentwood Dr, Yarmouth Port, MA 02675-1663 | 2010-11-08 |
| 1164547881 | Kathleen Maffett Clarke | Social Worker | 1250 E Baseline Rd, Suite 105, Tempe, AZ 85283-1404 | 2007-03-20 |
| 1053436253 | Kathleen M Clarke | Physical Therapist | 830 Scenic Dr, Modesto, CA 95350-6131 | 2007-03-20 |
| Street Address |
1506 S ONEIDA ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205828654 | Gladys Beth Michaelson | Registered Nurse | 1506 S Oneida St, Appleton, WI 54915-1305 | 2005-08-19 |
| 1184249773 | Allison Nierode | Student in an Organized Health Care Education/Training Program | 1506 S Oneida St, Appleton, WI 54915-1305 | 2020-06-10 |
| 1700401429 | Amanda Sue Mansfield | Occupational Therapy Assistant | 1506 S Oneida St, Appleton, WI 54915-1305 | 2020-06-09 |
| 1063044782 | Rebecca Ann Kloehn | Nurse Practitioner | 1506 S Oneida St, Appleton, WI 54915-1305 | 2020-02-11 |
| 1124658422 | Jeremy Scott Wells | Registered Nurse | 1506 S Oneida St, Appleton, WI 54915-1305 | 2020-01-25 |
| 1477104388 | Hitomi Gunsolley | Psychologist | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-09-23 |
| 1861045957 | Brianna M Montano | Counselor | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-07-18 |
| 1902458177 | Kelsey Gregory | Nurse Practitioner | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-07-09 |
| 1700442100 | Maija K West | Occupational Therapist | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-05-13 |
| 1750947263 | Samuel Markert | Nurse Practitioner | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518529718 | Ellen Marie Meier-licht | Psychologist | 200 N Mall Dr, Appleton, WI 54913-8500 | 2019-07-08 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1609065929 | Sue A.w. Melcher | Psychologist | 2800 E Enterprise Ave, Suite 1, Appleton, WI 54913-7889 | 2007-10-23 |
| 1316130404 | Jessica R Schroeder | Psychologist | 510 E Wisconsin Ave, Suite 1, Appleton, WI 54911-4865 | 2007-08-22 |
| 1235251349 | Sherman Counseling Management, LLC | Psychologist | W6144 Aerotech Drive, Suite D, Appleton, WI 54914-7503 | 2007-04-06 |
| 1548313869 | Steven P Kaplan | Psychologist | 477 S Nicolet Rd, Appleton, WI 54914-8270 | 2007-01-19 |
| 1710073804 | Robert Burkham | Psychologist | 103 W College Ave, Suite 815, Appleton, WI 54911 | 2006-10-05 |
| 1548355084 | Valerie Amelie Delain | Psychologist | 103 W College Ave Ste 1125, Appleton, WI 54911-5744 | 2006-10-03 |
| 1114025343 | Brandon B Hayes | Psychologist | 4351 W College Ave Ste 410, Appleton, WI 54914 | 2006-09-20 |
| 1700897766 | Steven P. Klein | Psychologist | 5733 W Grande Market Dr, Appleton, WI 54913-8472 | 2006-08-11 |
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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.