DANIEL M CHRISTY (NPI# 1164435400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164435400 |
| Entity Type | Individual |
| Full Name | DANIEL M CHRISTY |
| Practice Address |
146 E Geneva Sq Lake Geneva WI 53147-9694 |
| Practice Telephone | 2622494620 |
| Mailing Telephone | 2622494620 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2016-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2872-057 | WI | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2872-057 | WI | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
071006339 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760711600 | Daniel John Christy | Counselor | 2949 S Brentwood Blvd, Brentwood, MO 63144-2713 | 2009-12-23 |
| Street Address |
146 E GENEVA SQ |
| City | LAKE GENEVA |
| State | WI |
| Zip Code | 53147-9694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356340483 | Catherine Redding Davis | Social Worker | 146 E Geneva Sq, Aurora Health Center, Lake Geneva, WI 53147-9694 | 2005-07-20 |
| 1588219679 | Shawn M Stemper | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2019-08-06 |
| 1396253571 | Amar Y. Patel | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2018-01-22 |
| 1336686211 | Ashley L Vos | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2017-01-30 |
| 1487199402 | Brenda Brauer | Registered Nurse | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2016-12-29 |
| 1679017925 | Christina L. Clancy | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2016-12-06 |
| 1568819845 | Javier Gallegos | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2016-05-17 |
| 1609242759 | Benjamin Bilke | Physical Therapy Assistant | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2015-08-12 |
| 1992181408 | James William Gelder | Physician Assistant | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2015-08-06 |
| 1033593918 | Crystal J Dillett | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2015-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951206 | Emily Tanis | Physical Therapist | 6722 Wi-50, Lake Geneva, WI 53147 | 2020-08-05 |
| 1588295653 | Baylee M Noe | Occupational Therapy Assistant | Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 | 2020-01-28 |
| 1124539556 | Roxanne Weber | Registered Nurse | 146 E. Geneva Square, Lake Geneva, WI 53147 | 2017-10-12 |
| 1386969400 | Emily Kathleen Wilczak | Surgery | N2950 Wi-67, Lake Geneva, WI 53147 | 2010-03-31 |
| 1538294020 | Dale Alan Miller | Pharmacist | 2950 St. Hwy. 67, Lake Geneva, WI 53147 | 2007-02-23 |
| 1689779902 | Balistreri & Associates Physical Therapy | Physical Therapist | 902 Wells Street, Lake Geneva, WI 53147 | 2006-09-13 |
| 1336157981 | Nestor C Alabarca | Internal Medicine | 146 E Geneva Square, Lake Geneva, WI 53147 | 2006-08-03 |
| 1144259375 | Kim M. Cuculi | Occupational Therapist | 800 Geneva Pkwy N Ste 3, Lake Geneva, WI 53147 | 2006-07-01 |
| 1033550934 | Kathleen M Bullard | Counselor | 647 W Main St Ste 900, Lake Geneva, WI 53147 | 2013-07-09 |
| 1437492675 | Nicole M. Gladchenko | Physician Assistant | N2950 State Road 67, Lake Geneva, WI 53147 | 2013-04-05 |
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| 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 |
|---|---|---|---|---|
| 1306909312 | Frank J Elmudesi | Psychologist | 420 Madison St, Lake Geneva, WI 53147-1709 | 2006-12-19 |
| 1790316347 | Dr. Daniel Bishop | Psychologist | 415 Broad St Ste 2, Lake Geneva, WI 53147-1800 | 2020-02-03 |
| 1013206887 | Erin E Williams | Psychologist | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2011-04-01 |
| 1023125366 | Sandra J Regan | Psychologist | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2006-08-24 |
| 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 |
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| City | LAKE GENEVA |
| Zip Code | 53147 |
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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.