DAVID J. WAKELY (NPI# 1134228802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134228802 |
| Entity Type | Individual |
| Full Name | DAVID J. WAKELY |
| Credential | PH.D. |
| Practice Address |
557 N Washington St Janesville WI 53548 |
| Mailing Address |
557 N Washington St Janesville WI 53548-2907 |
| Practice Telephone | 6087546000 |
| Practice Fax Number | 6087557892 |
| Mailing Telephone | 6087546000 |
| Mailing Fax Number | 6087557892 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2018-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2711-057 | WI | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
071-002790 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MERCYCARE INSURANCE | WAKELDAV | 01 |
| WI | WI MEDICARE | 541760589 | 01 |
| WI | 1134228802 | 05 | |
| WI | RR MEDICARE | P00684638CD3624 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Mineral Point Ave, Mercy Health System, Janesville, WI 535482940 | 6087566000 |
| Street Address |
557 N WASHINGTON ST |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235176363 | Jessica J Mirek | Physical Therapist | 557 N Washington St, Janesville, WI 53548-2907 | 2006-05-31 |
| 1720693807 | Kristin K Anderson | Physical Therapist | 557 N Washington St, Janesville, WI 53548-2907 | 2020-09-15 |
| 1568008605 | Abigail Renee Hansen | Specialist/Technologist | 557 N Washington St, Janesville, WI 53548-2907 | 2019-11-25 |
| 1851942247 | Derek S. Drays | Physical Therapy Assistant | 557 N Washington St, Janesville, WI 53548-2907 | 2019-09-26 |
| 1740847433 | Erika T Smithrud | Speech-Language Pathologist | 557 N Washington St, Janesville, WI 53548-2907 | 2019-05-29 |
| 1053978163 | Peter W. Menges | Physical Therapist | 557 N Washington St, Janesville, WI 53548-2907 | 2019-05-23 |
| 1396302808 | Kelly Routt | Specialist/Technologist | 557 N Washington St, Janesville, WI 53548-2907 | 2019-05-21 |
| 1982179172 | Brittni N. Beerman | Speech-Language Pathologist | 557 N Washington St, Janesville, WI 53548-2907 | 2018-10-04 |
| 1265914584 | Morgan S. Bock | Speech-Language Pathologist | 557 N Washington St, Janesville, WI 53548-2907 | 2018-09-04 |
| 1619453842 | Gina M. Williams | Physical Therapist | 557 N Washington St, Janesville, WI 53548-2907 | 2018-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578846010 | Patricia Ann Sheets | Licensed Vocational Nurse | 316 N. Terrace St., Janbesville, WI 53548 | 2011-09-21 |
| 1760658983 | Kristy Kay Prentice Kerl | Dental Hygienist | 121 Jonathon Dr, Janesville, WI 53548 | 2008-05-07 |
| 1316005978 | City of Janesville | Emergency Medical Technician, Paramedic | 18 N Jackson St, Janesville, WI 53548 | 2006-12-05 |
| 1558464115 | Sarah Louise Hessenauer | Social Worker | 17 S. River St, Suite 254, Janesville, WI 53548 | 2006-09-07 |
| 1073548327 | Mary Katherine Cefalu | Registered Nurse | 17 S. River, Suite 254, Janesville, WI 53548 | 2006-07-12 |
| 1699707950 | Gary Lavern Jones | Counselor | 175 River, Suite 254, Janesville, WI 53548 | 2006-07-07 |
| 1295767424 | Michael Stuart Kaye | Clinical Neuropsychologist | 17 S River St Ste 254, Janesville, WI 53548 | 2006-07-07 |
| 1205864055 | Amy Laurie Roy | Counselor | 17 S River Suite 254, Janesville, WI 53548 | 2006-06-29 |
| 1518903566 | Leota I Larson | Psychologist | 17 S River, Suite 254, Janesville, WI 53548 | 2006-06-20 |
| 1760950414 | North Star Chiropractic LLC | Chiropractor | 21 S Jackson St, Ste 160, Janesville, WI 53548 | 2018-11-10 |
| Find all providers in zip 53548 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831448091 | Associates In Psychotherapy, LLC | Psychologist | 1519 Primrose Ln Ste 200, Janesville, WI 53545-0783 | 2012-09-04 |
| 1093255929 | Ashley A. Crull | Psychologist | 903 Mineral Point Ave, Janesville, WI 53548 | 2017-02-25 |
| 1033584404 | Amy Sosa | Psychologist | 903 Mineral Point Ave, Janesville, WI 53548 | 2015-12-09 |
| 1154410595 | Bridgeway Psychological Associates Ltd. | Psychologist | 519 Midland Ct, Suite 102, Janesville, WI 53546-2348 | 2006-10-12 |
| 1104842467 | Elizabeth C. Magnus | Psychologist | 1519 Primrose Ln, Janesville, WI 53545-0418 | 2006-07-13 |
| 1386671485 | Julie A Jacobs | Psychologist | 519 Midland Ct, Suite #102, Janesville, WI 53546-2336 | 2006-06-26 |
| 1881630010 | Sally Mccoy | Psychologist | 519 Midland Ct, Suite #102, Janesville, WI 53546-2336 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295863 | Emotive Action Counseling Services LLC | Psychologist | 9235 W Capitol Dr Ste 402, Milwaukee, WI 53222-1567 | 2020-11-05 |
| 1710501168 | Thomas Speech | Psychologist | 601 Kessler Dr., Neenah, WI 54956-4113 | 2020-06-02 |
| 1972124980 | Lake Geneva Psychology, Inc. | Psychologist | 630 Kenosha St, Walworth, WI 53184-9505 | 2020-04-30 |
| 1487283669 | Maria Gambaro | Psychologist | W4557 Gillette Dr, Montello, WI 53949-8951 | 2020-04-08 |
| 1386283810 | Troy William Sheide | Psychologist | 498 Ruggles St, Fond Du Lac, WI 54935-3931 | 2020-01-01 |
| 1871138115 | Point Counseling Center LLC | Psychologist | 1547 Strongs Ave Ste D, Stevens Point, WI 54481-3566 | 2019-11-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1023673563 | Robert E Young | Psychologist | 735 N Water St Ste 712, Milwaukee, WI 53202-4104 | 2019-05-09 |
| 1346705951 | Joseph John Abhold | Psychologist | 402 Graham Ave Ste 208, Eau Claire, WI 54701-2633 | 2019-02-07 |
| 1972075661 | Moonlight Psychotherapy and Psychological Services, LLC | Psychologist | 205 5th Ave S Ste 428, La Crosse, WI 54601-4059 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
| City | JANESVILLE |
| Zip Code | 53548 |
Please comment or provide details below to improve the information on DAVID J. WAKELY.
| 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.