MIDLANDS PSYCHOLOGICAL ASSOCIATES, LLC (NPI# 1285676593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285676593 |
| Entity Type | Organization |
| Organization Name | MIDLANDS PSYCHOLOGICAL ASSOCIATES, LLC |
| Other Organization Name | MIDLANDS PSCHOLOGICAL ASSOCIATES |
| Practice Address |
336 Lodi St Lodi WI 53555-1418 |
| Practice Telephone | 6085922080 |
| Practice Fax Number | 6085927120 |
| Mailing Telephone | 6085922080 |
| Mailing Fax Number | 6085927120 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-03-18 |
| Authorized Official Name | RONALD BRUCE JOHNSON (OWNER/PARTNER) |
| Authorized Official Telephone | 6085922080 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
WI | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Midlands Pschological Associates | Former Legal Business Name - Organization |
| Street Address |
336 LODI ST |
| City | LODI |
| State | WI |
| Zip Code | 53555-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679519953 | Deborah Lynn Brock | Counselor | 336 Lodi St, Lodi, WI 53555-1418 | 2006-06-22 |
| 1598701906 | Ronald Bruce Johnson | Psychologist | 336 Lodi St, Lodi, WI 53555-1418 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730722208 | Cara Kjorlie | Licensed Practical Nurse | W12277 Cty J, Lodi, WI 53555 | 2019-10-28 |
| 1437282795 | Perry Allen Barrette | Dentist | 204 Pond St, Lodi, WI 53555 | 2007-03-14 |
| 1467417576 | Rian J Podein | Family Medicine | 160 Valley Drive, Lodi, WI 53555 | 2006-04-20 |
| 1992789523 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 700 Clark St, Lodi, WI 53555-1010 | 2005-12-06 |
| 1730643123 | Divine Rehabilitation and Nursing At Lodi LLC | Skilled Nursing Facility | 700 Clark St, Lodi, WI 53555-1010 | 2019-01-30 |
| 1467719203 | Colleen R Jones | Occupational Therapy Assistant | 700 Clark St, Lodi, WI 53555-1010 | 2012-04-18 |
| 1851545966 | Jean Elizabeth Gates | Occupational Therapist | 700 Clark St, Lodi, WI 53555-1010 | 2008-11-17 |
| 1376743385 | Marcie Marie Wenzel | Occupational Therapy Assistant | 700 Clark St, Lodi, WI 53555-1010 | 2007-07-19 |
| 1255531190 | Michelle Marie Kaschinske | Occupational Therapist | 700 Clark St, Lodi, WI 53555-1010 | 2007-07-19 |
| 1285828749 | Lodi School District | Local Education Agency (LEA) | 115 School St, Lodi, WI 53555-1046 | 2007-08-28 |
| Find all providers in zip 53555 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710270400 | Kristina Dulcey-wang | Psychologist | 1930 Tienda Dr Ste 102, Lodi, CA 95242-3934 | 2011-05-27 |
| 1073700977 | Cynthia Michelle Teeple | Psychologist | 16838 N Alpine Rd, Lodi, CA 95240-9332 | 2007-09-25 |
| 1346305703 | Kharis E. Powell | Psychologist | 12 S Hutchins St, Lodi, CA 95240-1922 | 2006-12-26 |
| 1669578936 | Carolyn M Fowle | Psychologist | 1121 W Vine St Ste 12a, Lodi, CA 95240-5137 | 2006-09-15 |
| 1598701906 | Ronald Bruce Johnson | Psychologist | 336 Lodi St, Lodi, WI 53555-1418 | 2006-06-22 |
| 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 | ||||
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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.