DR. GRAHAM GARDNER KNOWLTON (NPI# 1134769441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134769441 |
| Entity Type | Individual |
| Full Name | DR. GRAHAM GARDNER KNOWLTON |
| Credential | PH.D. |
| Practice Address |
Milwaukee Vamc 5000 W National Ave Milwaukee WI 53295-0001 |
| Mailing Address |
5000 W National Ave Acute Mental Health Division Milwaukee WI 53295 |
| Practice Telephone | 4143842000 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-03-12 |
| NPI Deactivation Date | 01/25/2020 |
| NPI Reactivation Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
375257 | WI | Behavioral Health & Social Service Providers |
| Street Address |
MILWAUKEE VAMC 5000 W NATIONAL AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53295-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457858573 | Nina Sathasivam-rueckert | Psychologist | Zablocki Va Medical Center 5000 West National Avenue, Milwaukee, WI 53295 | 2018-04-06 |
| 1306350269 | Nicole Marien Van Horn | Clinical Nurse Specialist | Milwaukee Va Medical Center (zablocki), 5000 W. National Ave, Milwaukee, WI 53295 | 2017-11-29 |
| 1275829582 | Emily Rose Allred | Registered Nurse | 500 National Ave, Milwaukee, WI 53295 | 2011-06-24 |
| 1104912666 | Steve Eigen | Social Worker | 5000 W. National, Milwaukee, WI 53295 | 2006-10-04 |
| 1225121700 | Vicki L Nelson | Social Worker | 5000 W.national Ave, Milwaukee, WI 53295 | 2006-10-02 |
| 1003908617 | Beth Ayers | Physical Therapist | 5000 W National Ave., Milwaukee, WI 53295 | 2006-09-29 |
| 1730286295 | Regina Robin Anderson-spann | Social Worker | 5000 W. National Avenue, Milwaukee, WI 53295 | 2006-09-19 |
| 1891723904 | Allyn J Coleman | Dentist | Clement J. Zablocki Va Medical Center, 5000 W National Avenue, Milwaukee, WI 53295 | 2006-06-29 |
| 1356347686 | Wendy R. Janssen | Nurse Practitioner | 5000 W. National Ave, Milwaukee, WI 53295 | 2005-06-22 |
| 1629073507 | Susan Kathlenn Kartes | Nurse Practitioner | 5000 West National Avenue, Milwaukee, WI 53295 | 2005-06-16 |
| Find all providers in zip 53295 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1790202851 | Wisconsin Lutheran Child & Family Service | Psychologist | 2669 N Richards St, Milwaukee, WI 53212-2850 | 2017-08-29 |
| 1003100439 | Donald Raymond Hands | Psychologist | 6500 N Elm Tree Rd, Milwaukee, WI 53217-4042 | 2011-06-02 |
| 1376745182 | Mindy Marcus | Psychologist | Clemente J Zablocki Medical Ctr, 5000 W. National Ave, Milwaukee, WI 53295-0001 | 2007-06-04 |
| 1134332760 | Michael B Stillman | Psychologist | 8855 N Port Washington Rd, Apt. # 114, Milwaukee, WI 53217-1631 | 2007-05-08 |
| 1598371734 | Cristina Marie Soto Sullivan | Psychologist | 2524 E Webster Pl Ste 203, Milwaukee, WI 53211-4257 | 2020-09-22 |
| 1023655362 | Kavitha Dharmalingam Venkateswaran | Psychologist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2019-12-05 |
| 1336709849 | Nancy Harwood Nedland | Psychologist | 8901 W Capitol Dr, Milwaukee, WI 53222-1706 | 2019-06-17 |
| 1760992788 | Milwaukee Psychotherapy Collaborative | Psychologist | 9120 W Hampton Ave Ste 212, Milwaukee, WI 53225-4960 | 2017-10-04 |
| 1053839589 | Wisconsin Lutheran Child & Family Service Inc | Psychologist | 648 E Dover St, Milwaukee, WI 53207-2108 | 2017-09-05 |
| 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.