MARK WICHMAN (NPI# 1285785998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285785998 |
| Entity Type | Individual |
| Full Name | MARK WICHMAN |
| Practice Address |
417 W Water St Pontiac IL 61764-1750 |
| Mailing Address |
Po Box 351 Pontiac IL 61764-0351 |
| Practice Telephone | 8158677509 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2012-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180-005327 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437136488 | Mark T. Wichman | Specialist | 1575 N Rivercenter Dr, Suite 160, Milwaukee, WI 53212-3978 | 2005-12-29 |
| Street Address |
417 W WATER ST |
| City | PONTIAC |
| State | IL |
| Zip Code | 61764-1750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265609465 | At Home Counseling, LLC | Social Worker | 417 W Water St, Pontiac, IL 61764-1750 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
| 1407287121 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 301 E Torrance Ave, Pontiac, IL 61764 | 2013-12-05 |
| 1982031241 | Annette G Franzen | Psychologist | 700 W Lincoln St # 406, Pontiac, IL 61764 | 2013-10-02 |
| 1871739185 | Woodridge of Ponitac LLC | Assisted Living Facility | 120 North Deerfield Road, Pontiac, IL 61764 | 2008-12-17 |
| 1861601171 | William Earl Hammond | Chiropractor | 210b Ladd, Pontiac, IL 61764 | 2007-05-22 |
| 1932259983 | Amy Duffy | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764 | 2007-01-11 |
| 1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
| 1205932977 | Gary Merl Leverton | Dentist | 518 West Madison St, Pontiac, IL 61764 | 2006-09-16 |
| 1891899886 | Robert E Heins | Family Medicine | 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| 1710081708 | Kenneth N Jordan | Family Medicine | 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| Find all providers in zip 61764 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053694109 | Quaishilitha Pace | Counselor | 32 Greenwoode Ln, Pontiac, MI 48340-2244 | 2011-09-26 |
| 1386807535 | Shawna Melissa Milligan | Counselor | 1685 Baldwin Ave, Ste 100, Pontiac, MI 48340-1115 | 2008-07-08 |
| 1629269576 | Sharon Rose Vitale | Counselor | 1200 N Telegraph Rd Bldg 32, Pontiac, MI 48341-1032 | 2007-08-06 |
| 1013056563 | Brookside Services, Pllc | Counselor | 55 E Iroquois Rd, Pontiac, MI 48341-2016 | 2007-02-05 |
| 1932259983 | Amy Duffy | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764 | 2007-01-11 |
| 1063054724 | Rachel Boros | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-10-15 |
| 1417599176 | Kelsey Ann Anello | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-10-15 |
| 1962980359 | Jordan Marshall | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2018-07-30 |
| 1427536812 | Isaac Wicker | Counselor | 310 E Torrance, Pontiac, IL 61764 | 2018-07-30 |
| 1538646203 | Kind Living Therapy, LLC | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764-1790 | 2018-07-25 |
| Find all providers in PONTIAC | ||||
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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.