PAUL FLORSHEIM (NPI# 1306217492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306217492 |
| Entity Type | Individual |
| Full Name | PAUL FLORSHEIM |
| Credential | PHD |
| Practice Address |
4105 N Farwell Ave Milwaukee WI 53211-1754 |
| Practice Telephone | 8019497389 |
| Mailing Telephone | 8019497389 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2885 | WI | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2885 | WI | Behavioral Health & Social Service Providers |
| Street Address |
4105 N FARWELL AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-1754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376068379 | Monica L Gremillion | Psychologist | 9000 W Wisconsin Ave # Ms 958, Milwaukee, WI 53226-4874 | 2017-08-10 |
| 1861808412 | Jeffrey Karst | Psychologist | 8701 Watertown Plank Rd., Mfrc 3018, Medical College of Wisconsin Pediatric Hem/onc/bmt, Milwaukee, WI 53226 | 2014-07-03 |
| 1194008250 | Jenny Cvinar Walczak | Psychologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2011-09-26 |
| 1437315280 | Sheri L. Johnson | Psychologist | 5433 W Fond Du Lac Ave, Midtown Pediatrics, Milwaukee, WI 53216-1382 | 2008-07-31 |
| 1518129089 | Kristin H Kroll | Psychologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2008-06-26 |
| 1710151246 | Isabela Sardas | Psychologist | 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 | 2008-04-16 |
| 1275657272 | Angela C Stanley | Psychologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2007-03-17 |
| 1134173776 | Cheryl L Brosig Soto | Psychologist | 9000 W Wisconsin Ave, Children's Health Sys Office Bldg, Milwaukee, WI 53226-3518 | 2006-05-19 |
| 1780635524 | Larry Kevin Hamberger | Psychologist | 2400 W Villard Ave, Wfhc Glendale Family Center, Milwaukee, WI 53209-4901 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265634505 | Kimberly Arlene Young | Psychologist | 3505 N 124th St, Uppr, Brookfield, WI 53005-2489 | 2007-05-31 |
| 1073683413 | Amy M Schley | Psychologist | 204 Wisconsin Ave, Waukesha, WI 53186-4927 | 2006-11-09 |
| 1740229079 | Mary Margaret Rhoades | Psychologist | 5 Odana Ct, Madison, WI 53719-1120 | 2006-06-05 |
| 1861458093 | Anton C Smets | Psychologist | 101 N Farwell St Ste 204, Eau Claire, WI 54703-3767 | 2006-04-25 |
| 1265408173 | Marianne B Burton | Psychologist | 3610 Michelle Witmer Memorial Dr., New Berlin, WI 53151 | 2006-02-28 |
| 1003398868 | Megan Kay Higinbotham | Psychologist | 430 E Division St, Fond Du Lac, WI 54935-4597 | 2018-08-29 |
| 1134645724 | Kelsie-marie Offenwanger | Psychologist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2017-08-16 |
| 1699155648 | Center for Language Acquisition and Social Skills Intervention, LLC | Psychologist | 8239 W Hillview Dr, Mequon, WI 53097-3205 | 2015-06-04 |
| 1932501053 | Christopher Waser | Psychologist | 1524 S Lee St, Appleton, WI 54915-3822 | 2014-09-19 |
| 1821338815 | Susan M. Oestreicher | Psychologist | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2013-02-27 |
| 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.