MARIO RL VALENZUELA (NPI# 1255436705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255436705 |
Entity Type | Individual |
Full Name | MARIO RL VALENZUELA |
Credential | MD |
Practice Address |
2901 Hunters Trl Portage WI 53901-3403 |
Mailing Address |
2901 Hunters Trl Po Box 301 Portage WI 53901-3403 |
Practice Telephone | 6087425518 |
Practice Fax Number | 6087424087 |
Mailing Telephone | 6087425518 |
Mailing Fax Number | 6087424087 |
Enumeration Date | 2006-09-13 |
Last Update Date | 2014-04-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
41231020 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 32603500 | 05 |
Street Address |
2901 HUNTERS TRL |
City | PORTAGE |
State | WI |
Zip Code | 53901-3403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912973942 | Andrew Taylor Putney | Family Medicine | 2901 Hunters Trl, Portage, WI 53901-3403 | 2006-02-28 |
1164086112 | Claire A Staley | Social Worker | 2901 Hunters Trl, Portage, WI 53901-3403 | 2019-04-25 |
1467826990 | Renee Birkholz | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2015-11-20 |
1710363031 | Tomi Randall | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2015-08-10 |
1144618604 | Kristine G Schmitt | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2015-01-06 |
1700287216 | Jill Dickson-baures | Psychologist | 2901 Hunters Trl, Portage, WI 53901-3403 | 2014-09-16 |
1376944504 | Meredith Sullivan | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2014-09-08 |
1619377223 | Bjorn Hanson | Psychologist | 2901 Hunters Trl, Portage, WI 53901-3403 | 2014-09-02 |
1649697988 | Elizabeth Abbs Erickson | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2014-03-25 |
1124259841 | Robin A Deethardt | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2009-07-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
Find all providers in zip 53901 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585462 | Tracy Lynn Genovese | Psychiatry & Neurology | 2718 Laguardia St, Portage, IN 46368-3139 | 2020-07-08 |
1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
1639330624 | Kevin Anthony Kunzer | Psychiatry & Neurology | 1350 W Centre Ave Ste 110, Portage, MI 49024-5361 | 2008-06-23 |
1205103793 | Belal Hegazy | Psychiatry & Neurology | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2011-11-28 |
1437352689 | Niaz Mohammad | Psychiatry & Neurology | 7895 Currier Dr, Portage, MI 49002-4314 | 2007-06-06 |
1063526580 | Tammy Ann Pierner | Psychiatry & Neurology | 2901 Hunters Trl, Portage, WI 53901-3403 | 2006-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144844069 | Ania Fida | Psychiatry & Neurology | 1900 Westwood Dr, Wausau, WI 54401-7842 | 2020-06-05 |
1740764034 | New Frontiers Tms LLC | Psychiatry & Neurology | 2675 N Mayfair Rd Ste 400, Milwaukee, WI 53226-1305 | 2018-09-21 |
1912492398 | Heidi Ruth Wohlrabe | Psychiatry & Neurology | 1010 Franklin St, Wausau, WI 54403-5012 | 2018-06-27 |
1811494628 | Udoyen Health LLC | Psychiatry & Neurology | 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 | 2018-04-09 |
1053811307 | Bret Reynolds | Psychiatry & Neurology | 2000 Progress Road, New Lisbon Correctional Institute-health Services Unit, New Lisbon, WI 53950 | 2018-02-13 |
1194223933 | Forefront-holbrook Medical Service Corporation | Psychiatry & Neurology | W315n7677 State Road 83 Unit 20, Hartland, WI 53029-9784 | 2018-01-26 |
1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
1790212603 | Imad Khan | Psychiatry & Neurology | Uw Hospitals & Clinics 600 Highland Avenue, Madison, WI 53792 | 2017-05-23 |
1275980799 | Pyrimad Psychiatric Services and Health Care Management Solutions | Psychiatry & Neurology | 2460 Prairie Flower Ln, De Pere, WI 54115-9373 | 2016-05-16 |
1659725497 | Chelsea Maria Sprick | Psychiatry & Neurology | 5000 W National Ave Fl 3, Milwaukee, WI 53295-3133 | 2016-04-18 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MARIO RL VALENZUELA.
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.