JUDY A WALZ (NPI# 1104995141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104995141 |
| Entity Type | Individual |
| Full Name | JUDY A WALZ |
| Credential | RN |
| Practice Address |
10500 North Port Washington Road Mequon WI 53092 |
| Practice Telephone | 2622400427 |
| Practice Fax Number | 2622400429 |
| Mailing Telephone | 2622400427 |
| Mailing Fax Number | 2622400429 |
| Enumeration Date | 2006-11-06 |
| 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 | 47238030 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40939000 | 05 |
| Street Address |
10500 NORTH PORT WASHINGTON ROAD |
| City | MEQUON |
| State | WI |
| Zip Code | 53092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215016753 | Lawrence A Kane | Counselor | 10500 North Port Washington Road, Mequon, WI 53092-5585 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| 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 |
|---|---|---|---|---|
| 1487903597 | Lee Edward Hildebrand | Psychologist | 1045 W Glen Oaks Ln Ste 205, Mequon, WI 53092 | 2012-09-05 |
| 1699969154 | Kenneth Arthur Diamond | Psychologist | 1317 Towne Square Rd., Mequon, WI 53092 | 2007-08-28 |
| 1871506790 | David J Eichenhofer Jr. | Psychologist | 1035 W Glen Oaks Ln Ste 204, Mequon, WI 53092-3395 | 2006-08-14 |
| 1942219589 | Heather A Byrne | Psychologist | 14135 N Cedarburg Rd, # 203, Mequon, WI 53097-1416 | 2006-08-05 |
| 1033132899 | Charles Mathew Lodl | Psychologist | 11501 N Port Washington Rd, Suite 210, Mequon, WI 53092-3466 | 2006-07-25 |
| 1518459411 | Lakeshore Psychology Services LLC | Psychologist | 1045 W Glen Oaks Ln Ste 205, Mequon, WI 53092 | 2018-06-06 |
| 1649784638 | Brewer Counseling and Wellness | Psychologist | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2017-11-29 |
| 1154679231 | Heather A Byrne Phd Psychological Services LLC | Psychologist | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2012-08-21 |
| 1194090639 | Daniel Goeckner Phd LLC | Psychologist | 11649 N Port Washington Rd Ste 206, Mequon, WI 53092 | 2012-03-16 |
| 1619257045 | Eichenhofer Psychological Services | Psychologist | 1035 W Glen Oaks Ln, Suite 204, Mequon, WI 53092-3392 | 2011-08-17 |
| Find all providers in MEQUON | ||||
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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.