DR. CASEY A HOLTZ (NPI# 1295040988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295040988 |
Entity Type | Individual |
Full Name | DR. CASEY A HOLTZ |
Credential | PHD |
Practice Address |
17100 W North Ave Suite 100 Brookfield WI 53005-4436 |
Practice Telephone | 2627869184 |
Practice Fax Number | 2627861906 |
Mailing Telephone | 4148107647 |
Enumeration Date | 2010-08-18 |
Last Update Date | 2013-04-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
594-226 | WI | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
4444-125 | WI | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
2962-57 | WI | Behavioral Health & Social Service Providers |
Street Address |
17100 W NORTH AVE SUITE 100 |
City | BROOKFIELD |
State | WI |
Zip Code | 53005-4436 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063402337 | Annemarie Huebner | Psychologist | 17100 W North Ave, Suite 100, Brookfield, WI 53005-4436 | 2005-10-26 |
1003356692 | Forefront Dermatology, S.c. | Dermatology | 17100 W North Ave, Suite 200, Brookfield, WI 53005 | 2017-03-01 |
1952712556 | Angela Ertl | Social Worker | 17100 W North Ave, Suite 202, Brookfield, WI 53005-4436 | 2014-05-16 |
1396182846 | Elizabeth Margaret Robinson | Counselor | 17100 W North Ave, Suite 202, Brookfield, WI 53005-4436 | 2013-05-23 |
1598059743 | Heidi Pernitz | Counselor | 17100 W North Ave, Suite 100, Brookfield, WI 53005-4436 | 2011-06-06 |
1437453156 | Katie Harrison | Counselor | 17100 W North Ave, Suite 100, Brookfield, WI 53005-4436 | 2011-01-10 |
1255631255 | Nancy M Healyhaney | Psychologist | 17100 W North Ave, Suite 100, Brookfield, WI 53005-4436 | 2010-10-25 |
1578878765 | Anne Huebner & Associates LLC | Counselor | 17100 W North Ave, Suite 100, Brookfield, WI 53005-4436 | 2010-08-11 |
1164736088 | Christian Counseling Associates LLC | Counselor | 17100 W North Ave, Suite 100, Brookfield, WI 53005-4436 | 2010-08-03 |
1134380967 | Calvin Jay Langmade | Psychologist | 17100 W North Ave, Suite 202, Brookfield, WI 53005-4436 | 2008-06-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
Find all providers in zip 53005 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942660600 | Allison Sidel | Psychologist | 304 Federal Rd Ste 301, Brookfield, CT 06804-2423 | 2016-02-24 |
1568784114 | Rebecca Lynn Thompson | Psychologist | 150 N Sunny Slope Rd, Suite #100, Brookfield, WI 53005-4806 | 2010-02-24 |
1861602609 | Douglas Eugene Scarth | Psychologist | 2 Old New Milford Rd Ste 1e, Brookfield, CT 06804-2426 | 2007-05-23 |
1932255833 | Henry Barron | Psychologist | 2224 Twin Pond Rd, Brookfield, VT 05036-9540 | 2007-01-25 |
1669537015 | Lynne Berendsen | Psychologist | 13035 W Bluemound Rd, Suite 100, Brookfield, WI 53005-8001 | 2006-12-26 |
1356401475 | Howard Joel Haven | Psychologist | 12690 W North Avenue, Elmbrook Family Counseling Center, Brookfield, WI 53005 | 2006-12-11 |
1922172634 | Judy A Eager | Psychologist | 13965 W Burleigh Rd, Suite 203, Brookfield, WI 53005-3064 | 2006-11-17 |
1649361775 | Kim Marie Gorecki | Psychologist | 19275 W Capitol Dr Ste 200, Brookfield, WI 53045-2734 | 2006-09-27 |
1427002211 | Eric D Seybold | Psychologist | 12690 W North Ave, Brookfield, WI 53005-4636 | 2006-05-19 |
1194230599 | Jacquelyn Bogdanov | Psychologist | 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 | 2017-12-06 |
Find all providers in BROOKFIELD |
City | BROOKFIELD |
Zip Code | 53005 |
Please comment or provide details below to improve the information on DR. CASEY A HOLTZ.
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.