PAMELA M CORRADO (NPI# 1184773236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184773236 |
| Entity Type | Individual |
| Full Name | PAMELA M CORRADO |
| Credential | PSY.D |
| Practice Address |
515 22nd Ave Monroe WI 53566-1569 |
| Practice Telephone | 6083241000 |
| Mailing Telephone | 6083241000 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1891 | WI | Behavioral Health & Social Service Providers |
| Street Address |
515 22ND AVE |
| City | MONROE |
| State | WI |
| Zip Code | 53566-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659354553 | Mark W. Collar | Anesthesiology | 515 22nd Ave, Monroe Clinic, Monroe, WI 53566-1569 | 2005-11-23 |
| 1316546724 | Melissa Anne Anderson | Nurse Practitioner | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-10-19 |
| 1356949382 | Olivia Caroline Lemanski | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-10-12 |
| 1023620382 | Katelyn Rebecca Marie Neverman | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-08-18 |
| 1619586393 | Lauren Marie Shawl | Social Worker | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-07-28 |
| 1508484676 | Ashley Moore | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-07-06 |
| 1164043584 | Erica Yumi Yamamoto | Student in an Organized Health Care Education/Training Program | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-04-27 |
| 1982231668 | Scott Soja | Specialist/Technologist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-03-24 |
| 1942835707 | Daniel Douglas Troutner | Physician Assistant | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-03-11 |
| 1649817222 | Samuel A. Cook | Nurse Practitioner | 515 22nd Ave, Monroe, WI 53566-1569 | 2019-12-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
| 1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
| 1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
| 1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
| 1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
| 1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
| 1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
| 1174702559 | Kelly Jo Jenson | Chiropractor | 1518 11th Street, Suite 1-2, Monroe, WI 53566 | 2007-11-01 |
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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 |
|---|---|---|---|---|
| 1629553235 | Alyssa Sacka | Psychologist | 25 S Monroe St Ste 303, Monroe, MI 48161-2209 | 2018-09-28 |
| 1548563182 | Gary Kinstlinger | Psychologist | 1 Dinev Court, Monroe, NY 10950 | 2010-12-20 |
| 1013219120 | Jack Grobstein | Psychologist | 22 Merriewold Ln N, Monroe, NY 10950-1916 | 2010-11-22 |
| 1043547235 | James Perrone | Psychologist | 23 Wheeler Rd, Monroe, CT 06468-2420 | 2009-11-09 |
| 1710014873 | Earl H. Baker | Psychologist | 1502 Stubbs Ave, Monroe, LA 71201-5628 | 2007-02-27 |
| 1922180561 | Jacob Kirschenbaum | Psychologist | 315a Forsgate Dr, Monroe, NJ 08831-1539 | 2006-10-20 |
| 1669577201 | William J Medick | Psychologist | 730 N Macomb St Ste 225, Monroe, MI 48162-2969 | 2006-09-14 |
| 1174549190 | Jennifer Lynn Westfal | Psychologist | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2006-07-14 |
| 1881629996 | George Philip Popper | Psychologist | 105 E Franklin St, Monroe, NC 28112-4850 | 2006-07-11 |
| 1598711699 | Jennifer L. Cilino-folks | Psychologist | 515 22nd Avenue, Monroe Clinic, Monroe, WI 53566-1569 | 2006-05-26 |
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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.