COLLEEN MARY MORTELL


Address: 2727 Marshall Ct, Madison, WI 53705-2255
Phone: 6082389354

COLLEEN MARY MORTELL (NPI# 1194814269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194814269
Entity Type Individual
Full Name COLLEEN MARY MORTELL
Credential PH.D.
Practice Address 2727 Marshall Ct
Madison
WI 53705-2255
Practice Telephone 6082389354
Practice Fax Number 6082387675
Mailing Telephone 6082389354
Mailing Fax Number 6082387675
Enumeration Date 2006-10-12
Last Update Date 2015-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 2035-057 WI Behavioral Health & Social Service Providers
N 103T00000X Psychologist 2035 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39712000 05

Office Location

Street Address 2727 MARSHALL CT
City MADISON
State WI
Zip Code 53705-2255

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427039353 Amy Jean Miller Nurse Practitioner 2727 Marshall Ct, Madison, WI 53705-2255 2005-11-08
1568090363 Deirdre Dea Green Social Worker 2727 Marshall Ct, Madison, WI 53705-2255 2020-03-29
1447696976 Michael A Gerst Social Worker 2727 Marshall Ct, Madison, WI 53705-2255 2013-05-10
1578829230 Shane Anton Creado Internal Medicine 2727 Marshall Ct, Madison, WI 53705-2255 2012-04-07
1902098957 Psychiatric Services Sc Psychologist 2727 Marshall Ct, Madison, WI 53705-2255 2007-08-14
1194932038 James S Rohan Psychiatry & Neurology 2727 Marshall Ct, Madison, WI 53705-2255 2007-05-17
1124173364 Joy Katharine Rice Psychologist 2727 Marshall Ct, Madison, WI 53705-2255 2007-01-25
1447303599 Michael James Spierer Psychologist 2727 Marshall Ct, Madison, WI 53705-2255 2007-01-20
1679620694 Rachel Karen Heilizer Psychologist 2727 Marshall Ct, Madison, WI 53705-2255 2007-01-04
1457434771 Barbara Anne Vanhorne Psychologist 2727 Marshall Ct, Madison, WI 53705-2255 2006-10-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629563986 Magdalena Maria Siodlak Pharmacist 2500 Overlook Terrace (119), Madison, WI 53705 2018-06-28
1104343243 Aisling Margaret Tallman Physician Assistant 725 University Row, Apt 124, Madison, WI 53705 2017-08-29
1346785938 Rachel Maria Sanabria Social Worker 4513 Vernon Blvd Ste 100, Madison, WI 53705 2017-01-05
1124482856 Samantha Jo Juve Social Worker 313 Price Pl Ste 212, Madison, WI 53705 2016-04-08
1912373002 Brittany Dennis Counselor 5005 University Avenue, Suite 100, Madison, WI 53705 2015-08-12
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1174872808 Natasha Bulat Massage Therapist 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 2012-09-10
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073138327 Rachel Kahn Psychologist 501 Acacia Ln, Madison, WI 53716-3238 2020-06-12
1700363652 Capital City Psychology, LLC Psychologist 313 Price Pl Ste 210, Madison, WI 53705-3262 2018-07-24
1093222010 Leya Moore Psychologist 1415 Rutledge St, Madison, WI 53703-3834 2017-12-29
1306359591 Elizabeth Gaebler Psychologist 700 Ray O Vac Dr Ste 114, Madison, WI 53711-2468 2017-11-09
1619489135 Streicher-bremer Psychotherapy Sc Psychologist 1619 Monroe St Ste 2, Madison, WI 53711-2063 2017-10-25
1356736565 Madison Behavioral Psychology, LLC Psychologist 7818 Big Sky Dr Ste 210, Madison, WI 53719-3524 2015-04-03
1457756595 Familypath Autism Services, LLC Psychologist 575 Donofrio Dr Ste 101, Madison, WI 53719-2832 2014-10-31
1104184142 Hurd Counseling and Educational Psychology Psychologist 700 Rayovac Drive, Madison, WI 53711 2012-04-27
1679865992 Sharon Kelley Psychologist 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 2011-05-04
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Competitor

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City MADISON
Zip Code 53705

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Dataset Information

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.

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