HALL PSYCHOLOGICAL SERVICES LLC (NPI# 1275765513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275765513 |
| Entity Type | Organization |
| Organization Name | HALL PSYCHOLOGICAL SERVICES LLC |
| Practice Address |
103 W College Ave Suite 611 Appleton WI 54911-5770 |
| Practice Telephone | 9208825300 |
| Practice Fax Number | 9208820747 |
| Mailing Telephone | 9208825300 |
| Mailing Fax Number | 9208820747 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |
| Authorized Official Name | DR. LAURIE HALL (PSYCHOLOGIST) |
| Authorized Official Telephone | 9208825300 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
2719-057 | WI | Ambulatory Health Care Facilities |
| Street Address |
103 W COLLEGE AVE SUITE 611 |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-5770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710073804 | Robert Burkham | Psychologist | 103 W College Ave, Suite 815, Appleton, WI 54911 | 2006-10-05 |
| 1669700761 | Robert Burkham, Ph.d., S.c. | Psychologist | 103 W College Ave, Suite 611, Appleton, WI 54911-5770 | 2009-12-01 |
| 1679720650 | Gerald Ike Metalsky | Psychologist | 103 W College Ave, Suite 1125, Appleton, WI 54911-5770 | 2008-08-21 |
| 1992905038 | Craig Joseph Martin | Chiropractor | 103 W College Ave, Suite 406, Appleton, WI 54911-5770 | 2007-07-18 |
| 1104960376 | Cary Ann Backenger | Counselor | 103 W College Ave, Appleton, WI 54911-5770 | 2007-02-19 |
| 1174672000 | Diane Wizner | Counselor | 103 W College Ave, Suite 815, Appleton, WI 54911-5770 | 2007-01-09 |
| 1790847655 | Ellen C Needham | Counselor | 103 W College Ave, #815, Appleton, WI 54911 | 2006-12-15 |
| 1578625539 | Jane Marbury Keggi | Psychologist | 103 W College Ave, Suite 815, Appleton, WI 54911 | 2006-12-15 |
| 1649354077 | Wellness Counseling Center, L.L.C. | Counselor | 103 W College Ave, Suite 815, Appleton, WI 54911-5770 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699094912 | Healthy Connections, LLC | Clinic/Center | 510 E Wisconsin Ave Ste 1, Appleton, WI 54911-4865 | 2010-05-26 |
| 1861655482 | Psychology Associates of The Fox Cities | Clinic/Center | 2557a E Calumet St, Appleton, WI 54915-4748 | 2008-07-03 |
| 1194945378 | Options Treatment Programs, Inc | Clinic/Center | 1000 N Lynndale Dr, Suite C, Appleton, WI 54914-3057 | 2007-04-27 |
| 1023589793 | New Leaf Integrative Counseling Center, LLC | Clinic/Center | 477 S Nicolet Rd Ste 1, Appleton, WI 54914-8270 | 2018-12-06 |
| 1932690302 | Embrace Hope Counseling, LLC | Clinic/Center | 5497 W Waterford Ln Ste A, Appleton, WI 54913-8489 | 2018-05-22 |
| 1083113021 | Badger Counseling LLC | Clinic/Center | 424 E Longview Dr Ste A, Appleton, WI 54911-2167 | 2018-02-05 |
| 1215436258 | Jng Counseling LLC | Clinic/Center | 424 E Longview Dr Ste A, Appleton, WI 54911 | 2018-02-05 |
| 1356861769 | Rise Counseling & Wellness, LLC | Clinic/Center | 5497 W Waterford Ln, Appleton, WI 54913-8509 | 2017-06-27 |
| 1962779066 | Get Connected Counseling | Clinic/Center | 5497 W Waterford Ln Ste A, Appleton, WI 54913-8489 | 2011-11-18 |
| 1013052299 | Attic Correctional Services Inc. | Clinic/Center | 720 W Washington St, Appleton, WI 54914-3805 | 2007-02-21 |
| Find all providers in APPLETON | ||||
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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.