DR. DANIEL WAYNE BISHOP (NPI# 1215039201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215039201 |
| Entity Type | Individual |
| Full Name | DR. DANIEL WAYNE BISHOP |
| Credential | PSY.D |
| Practice Address |
415 Broad St Ste 2 Lake Geneva WI 53147-1800 |
| Practice Telephone | 2623743444 |
| Practice Fax Number | 8442472735 |
| Mailing Telephone | 2623743444 |
| Mailing Fax Number | 8442472735 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
14303 | IL | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15348-132 | WI | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
15360-135 | WI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
4047-125 | WI | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
180004694 | IL | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
320657 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467475624 | Daniel A Bishop | Specialist | 1203 Us Hwy 98, Suite 1-c, Daphne, AL 36526 | 2006-07-26 |
| 1740279793 | Daniel Dayton Bishop | Optometrist | 660 Capitol St Ne, Salem, OR 97301-2504 | 2005-10-20 |
| 1962863290 | Daniel Bishop | Pharmacist | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2016-03-15 |
| 1912204132 | Daniel J. Bishop | Dentist | 2120 E 3900 S, Suite 102, Salt Lake City, UT 84124-1771 | 2011-02-24 |
| 1669522587 | Daniel Bishop | Emergency Medicine | 350 W Thomas Rd, St. Joseph's Hospital & Medical Center, Phoenix, AZ 85013-4409 | 2007-01-11 |
| Street Address |
415 BROAD ST STE 2 |
| City | LAKE GENEVA |
| State | WI |
| Zip Code | 53147-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316347 | Dr. Daniel Bishop | Psychologist | 415 Broad St Ste 2, Lake Geneva, WI 53147-1800 | 2020-02-03 |
| 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 |
| 1396253571 | Amar Y. Patel | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2018-01-22 |
| 1679017925 | Christina L. Clancy | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2016-12-06 |
| Find all providers in zip 53147 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629607619 | Eleanor Arlene Tidball | Psychologist | 13320 W Grange Ave, New Berlin, WI 53151-8131 | 2020-04-02 |
| 1134769441 | Graham Gardner Knowlton | Psychologist | Milwaukee Vamc 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-01-14 |
| 1477197929 | Samuel David Lustgarten | Psychologist | 1025 W Johnson St Rm 303b, Madison, WI 53706-1706 | 2019-10-28 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1770133555 | Kerrin Sendrowitz O'connor | Psychologist | 1509 S Outagamie St, Appleton, WI 54914-5580 | 2019-09-13 |
| 1982193546 | Samantha Jo Schwartz-oscar | Psychologist | 2809 School Rd, Greenleaf, WI 54126-9209 | 2018-05-08 |
| 1790202851 | Wisconsin Lutheran Child & Family Service | Psychologist | 2669 N Richards St, Milwaukee, WI 53212-2850 | 2017-08-29 |
| 1902337785 | Carla Mae Davey | Psychologist | 333 E Campus Mall Rm 7, University Health Services, Madison, WI 53715-1740 | 2017-03-23 |
| 1558739300 | Hayley Shilling | Psychologist | 6602 Grand Teton Plz Ste 100, Madison, WI 53719-2905 | 2015-09-10 |
| 1568850840 | Belinda Gutierrez | Psychologist | 2500 Overlook Terrace, 116b, William S. Middleton Memorial Veterans Hospital, Madison, WI 53705-2286 | 2015-01-08 |
| Find all providers with the same taxonomy | ||||
| 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.