MS. PHYLLIS KASPER (NPI# 1215913207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215913207 |
| Entity Type | Individual |
| Full Name | MS. PHYLLIS KASPER |
| Credential | PHD |
| Practice Address |
5300 Memorial Dr Two Rivers WI 54241-3923 |
| Practice Telephone | 9207937420 |
| Practice Fax Number | 9207937430 |
| Mailing Telephone | 9207937420 |
| Mailing Fax Number | 9207937430 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2010-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
770 057 | WI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
770-057 | WI | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
770-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39016500 | 05 |
| Street Address |
5300 MEMORIAL DR |
| City | TWO RIVERS |
| State | WI |
| Zip Code | 54241-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487282802 | Jane B Bersch | Massage Therapist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2020-03-31 |
| 1952938334 | Sara Wendt | Massage Therapist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2020-03-25 |
| 1689156481 | Tyler Luedtke | Physical Therapist | 5300 Memorial Dr, Two Rivers, WI 54241 | 2018-08-29 |
| 1376037499 | Julie Brunner | Registered Nurse | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2018-06-21 |
| 1356838049 | Rachel Marie Geiger | Occupational Therapist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2018-04-18 |
| 1740781715 | Lindsey Shea Herman | Occupational Therapist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2018-02-26 |
| 1659898385 | Sandra R Van Groll | Nurse Practitioner | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2017-08-23 |
| 1821513136 | Kevin Kornowski | Physician Assistant | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2017-08-08 |
| 1336676360 | Pamela J Masci | Social Worker | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2017-05-22 |
| 1306377155 | Michelle E Schulte | Pediatrics | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2017-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617667 | Karrie May Kudrna Behrent | Counselor | Phoenix Behavioral Health Services LLC, 3120 Memorial Dr., Two Rivers, WI 54241 | 2019-12-21 |
| 1972147460 | Linda Sand | Technician | 11409 Wedge Dr., Two Rivers, WI 54241 | 2019-10-29 |
| 1710536446 | Margaret Smith | Technician | 1916 Roosevelt Ave, Two Rivers, WI 54241 | 2019-09-05 |
| 1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
| 1194091322 | Fisher Chiropractic and Rehab Center LLC | Chiropractor | 1817 Washington Street, Two Rivers, WI 54241 | 2012-04-02 |
| 1396075016 | Holly Lynn Struck | Physical Therapist | 5300 Memorial Drive, Two Rivers, WI 54241 | 2009-12-31 |
| 1558451906 | David James Loritz | Dentist | 1413 22nd St, Two Rivers, WI 54241 | 2006-10-14 |
| 1598737744 | City of Two Rivers | Ambulance | 2122 Monroe St, Two Rivers, WI 54241 | 2006-02-02 |
| 1912426925 | Amy C Nowak | Nurse Practitioner | 2219 Garfield St, Two Rivers, WI 54241 | 2017-09-12 |
| 1710367123 | Matthew J Hobbins | Internal Medicine | 5000 Memorial Dr, Two Rivers, WI 54241 | 2015-06-02 |
| Find all providers in zip 54241 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295863 | Emotive Action Counseling Services LLC | Psychologist | 9235 W Capitol Dr Ste 402, Milwaukee, WI 53222-1567 | 2020-11-05 |
| 1710501168 | Thomas Speech | Psychologist | 601 Kessler Dr., Neenah, WI 54956-4113 | 2020-06-02 |
| 1972124980 | Lake Geneva Psychology, Inc. | Psychologist | 630 Kenosha St, Walworth, WI 53184-9505 | 2020-04-30 |
| 1487283669 | Maria Gambaro | Psychologist | W4557 Gillette Dr, Montello, WI 53949-8951 | 2020-04-08 |
| 1386283810 | Troy William Sheide | Psychologist | 498 Ruggles St, Fond Du Lac, WI 54935-3931 | 2020-01-01 |
| 1871138115 | Point Counseling Center LLC | Psychologist | 1547 Strongs Ave Ste D, Stevens Point, WI 54481-3566 | 2019-11-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1023673563 | Robert E Young | Psychologist | 735 N Water St Ste 712, Milwaukee, WI 53202-4104 | 2019-05-09 |
| 1346705951 | Joseph John Abhold | Psychologist | 402 Graham Ave Ste 208, Eau Claire, WI 54701-2633 | 2019-02-07 |
| 1972075661 | Moonlight Psychotherapy and Psychological Services, LLC | Psychologist | 205 5th Ave S Ste 428, La Crosse, WI 54601-4059 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
| City | TWO RIVERS |
| Zip Code | 54241 |
Please comment or provide details below to improve the information on MS. PHYLLIS KASPER.
| 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.