DR. WENDY S UPADHYAY (NPI# 1144231804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144231804 |
| Entity Type | Individual |
| Full Name | DR. WENDY S UPADHYAY |
| Credential | PSYD |
| Practice Address |
620 W Brown St Waupun WI 53963-1702 |
| Mailing Address |
420 E Division St Fond Du Lac WI 54935-4560 |
| Practice Telephone | 9203247600 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 2553 | WI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2553-57 | WI | Behavioral Health & Social Service Providers |
| Street Address |
620 W BROWN ST |
| City | WAUPUN |
| State | WI |
| Zip Code | 53963-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306840350 | Vb Anesthesia | Nurse Practitioner | 620 W Brown St, Waupun, WI 53963-1702 | 2005-06-08 |
| 1245841915 | Maribel Ramos | Nurse Anesthetist, Certified Registered | 620 W Brown St, Waupun, WI 53963-1702 | 2020-08-14 |
| 1639797541 | Zachary Richard Bartz | Physical Therapist | 620 W Brown St, Waupun, WI 53963-1799 | 2020-07-07 |
| 1629617329 | Alyssa A Hallgren | Counselor | 620 W Brown St, Waupun, WI 53963-1702 | 2019-12-27 |
| 1427695626 | Madeline Younger | Occupational Therapist | 620 W Brown St, Waupun, WI 53963-1799 | 2019-12-06 |
| 1437710910 | Tori Lynn Kieler | Physical Therapist | 620 W Brown St, Waupun, WI 53963-1799 | 2019-06-25 |
| 1760046981 | Katherine Lorraine Grady | Social Worker | 620 W Brown St, Waupun, WI 53963-1702 | 2019-04-23 |
| 1497234686 | Lakeside Neurocare Limited | Psychiatry & Neurology | 620 W Brown St, Waupun, WI 53963-1702 | 2018-08-09 |
| 1043719420 | Kourtney Kaye Lechner Ullrich | Counselor | 620 W Brown St, Waupun, WI 53963 | 2018-02-12 |
| 1811410152 | Andrea Marie Smits | Nurse Practitioner | 620 W Brown St, Waupun, WI 53963-1702 | 2017-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487195772 | Ryan Schmitt | Specialist/Technologist | 411 Edgewood Drive, Waupun, WI 53963 | 2017-03-20 |
| 1154727758 | Above and Beyond Care Solutions LLC | In Home Supportive Care | 1013 Church Street, Waupun, WI 53963 | 2014-11-08 |
| 1629374780 | Beaver Dam Community Hospitals, Inc | Family Medicine | 180 Gateway Dr, Waupun, WI 53963 | 2011-02-07 |
| 1699904680 | Olson Eye Care LLC | Optometrist | 537 E Main Street, Waupu, WI 53963 | 2009-07-10 |
| 1588817365 | Senior Community Center Management of Waupun, LLC | Assisted Living Facility | 450 E Franklin Street, Waupun, WI 53963 | 2008-10-24 |
| 1013178367 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 999 E Main St, Waupun, WI 53963 | 2008-06-19 |
| 1568582807 | Todd Richard Callister | Psychiatry & Neurology | 200 South Madison St, Waupun, WI 53963 | 2007-03-30 |
| 1043352990 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 620 Brown St, Waupun, WI 53963 | 2007-02-13 |
| 1457312209 | Christian Home and Rehabilitation Center, Inc. | Assisted Living Facility | 331 Bly St, Waupun, WI 53963 | 2006-03-31 |
| 1477537249 | Brooks Ambulance Inc | Ambulance | 426 E Main St, Waupun, WI 53963 | 2005-12-05 |
| Find all providers in zip 53963 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 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 | ||||
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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.