BONITA JEAN DEBBAN (NPI# 1144274689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144274689 |
| Entity Type | Individual |
| Full Name | BONITA JEAN DEBBAN |
| Credential | PH.D |
| Practice Address |
970 S Silver Lake St Oconomowoc WI 53066-3802 |
| Practice Telephone | 2625677900 |
| Practice Fax Number | 2625677908 |
| Mailing Telephone | 2625677900 |
| Mailing Fax Number | 2625677908 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2324-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | BLUE CROSS BLUE SHIELD | 412024650011 | 01 |
| WI | 43550000 | 05 |
| Street Address |
970 S SILVER LAKE ST |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036726 | Christian Zebrasky | Chiropractor | 970 S Silver Lake St, Suite 106, Oconomowoc, WI 53066-3802 | 2005-07-08 |
| 1164803631 | Kenzie Gaines Davidovich | Dentist | 970 S Silver Lake St, #101, Oconomowoc, WI 53066-3802 | 2015-06-10 |
| 1255675112 | Deborah J Klecker | Counselor | 970 S Silver Lake St, Suite #103, Oconomowoc, WI 53066-3802 | 2012-11-15 |
| 1790978666 | Lake Country Pain Treatment | Specialist | 970 S Silver Lake St, Suite 106, Oconomowoc, WI 53066-3802 | 2007-08-23 |
| 1245245794 | A New Day Psychological Services LLC | Psychologist | 970 S Silver Lake St, Suite 103, Oconomowoc, WI 53066-3802 | 2006-07-30 |
| 1811914609 | Complete Chiropractic and Rehab Center LLC | Chiropractor | 970 S Silver Lake St, #106, Oconomowoc, WI 53066 | 2006-07-16 |
| 1801849963 | Lake Country Pediatrics Sc | Pediatrics | 970 S Silver Lake St, Ste. 102, Oconomowoc, WI 53066-3802 | 2006-05-18 |
| 1124076658 | Timothy G. Williamson | Dentist | 970 S Silver Lake St, Oconomowoc, WI 53066-3802 | 2006-05-05 |
| 1619940947 | Gregory Michael Moyer | Pediatrics | 970 S Silver Lake St, Ste. 102, Oconomowoc, WI 53066-3802 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| 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 |
|---|---|---|---|---|
| 1518959436 | Bradley Christopher Riemann | Psychologist | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2005-08-17 |
| 1821503640 | Nicholas R Farrell | Psychologist | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2017-12-04 |
| 1215301502 | Anne L Felden | Psychologist | 36100 Genesee Lake Rd, Oconomowoc, WI 53066-9201 | 2015-11-24 |
| 1477540243 | Patric William Mattek | Psychologist | 970 S Silver Lake St Ste 102, Oconomowoc, WI 53066-3802 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205445590 | Elizabeth Ann Mullen-houser | Psychologist | 1507 Winnebago St, La Crosse, WI 54601-4967 | 2020-07-23 |
| 1073138327 | Rachel Kahn | Psychologist | 501 Acacia Ln, Madison, WI 53716-3238 | 2020-06-12 |
| 1184248593 | Jill Mallin | Psychologist | 10 S Water St E, Fort Atkinson, WI 53538-2053 | 2020-06-01 |
| 1669095303 | Generational Cycles LLC | Psychologist | 2208 W Rohr Ave, Milwaukee, WI 53209-5057 | 2020-05-27 |
| 1518529718 | Ellen Marie Meier-licht | Psychologist | 200 N Mall Dr, Appleton, WI 54913-8500 | 2019-07-08 |
| 1396309076 | John Nathaniel Greene Jr. | Psychologist | 6100 N 42nd St, Milwaukee, WI 53209-3560 | 2019-04-27 |
| 1396201455 | Pathways Counseling Services | Psychologist | 1025 56th St, Kenosha, WI 53140-3737 | 2019-02-13 |
| 1912461385 | We All Rise Counseling Services LLC | Psychologist | 529 S Jefferson St Ste 201, Green Bay, WI 54301-4125 | 2019-01-30 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1295202976 | Pkm Clinical Solutions LLC | Psychologist | W206s7867 Pasadena Dr, Muskego, WI 53150-9532 | 2018-10-31 |
| Find all providers with the same taxonomy | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
Please comment or provide details below to improve the information on BONITA JEAN DEBBAN.
| 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.