DR. MATHEW SEAN MCCARTHY (NPI# 1306917570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306917570 |
| Entity Type | Individual |
| Full Name | DR. MATHEW SEAN MCCARTHY |
| Credential | M.D. |
| Practice Address |
712 55th St Kenosha WI 53140-6506 |
| Mailing Address |
5407 8th Ave Kenosha WI 53140-3715 |
| Practice Telephone | 2628420538 |
| Mailing Telephone | 2626577188 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2012-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
222350 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
49892 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34737900 | 05 |
| Street Address |
712 55TH ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-6506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003350422 | La Shanda Tolefree | Counselor | 712 55th St, Kenosha, WI 53140-6506 | 2016-12-05 |
| 1912441338 | Kristin Joy Stensgard | Counselor | 712 55th St, Kenosha, WI 53140-6506 | 2016-12-05 |
| 1447691167 | Connie Russell | Counselor | 712 55th St, Kenosha, WI 53140-6506 | 2013-07-10 |
| 1265870323 | Vicki Lynn Smith | Social Worker | 712 55th St, Kenosha, WI 53140-6506 | 2013-06-11 |
| 1326179987 | Mathew Mccarthy, Md, Sc | Clinic/Center | 712 55th St, Kenosha, WI 53140-6506 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598834574 | Ronald Rubin | Psychiatry & Neurology | 3734 7th Ave Ste 12, Kenosha, WI 53140-5525 | 2006-11-06 |
| 1801895743 | Venkata Krishna Sharma | Psychiatry & Neurology | 3535 30th Ave, Suite 201, Kenosha, WI 53144 | 2005-07-20 |
| 1801152673 | Juvaria Shahabuddin | Psychiatry & Neurology | 12225 71st St, Kenosha, WI 53142-7320 | 2012-04-05 |
| 1912206384 | Jawad Pervez | Psychiatry & Neurology | 12225 71st St, Kenosha, WI 53142-7320 | 2011-03-24 |
| 1518103324 | Laura Sunn Md Sc | Psychiatry & Neurology | 5407 8th Ave, Kenosha, WI 53140-3715 | 2008-12-29 |
| 1528254042 | Pushparanee Babusukumar M.d.s.c. | Psychiatry & Neurology | 3535 30th Ave, Suite 201, Kenosha, WI 53144-1632 | 2007-09-18 |
| 1730246380 | Ashokkumar K Shah | Psychiatry & Neurology | 3734 7th Ave, Suite 24, Kenosha, WI 53140-5525 | 2007-01-02 |
| 1619053881 | Vk Sharma Md Sc | Psychiatry & Neurology | 3535 30th Ave, Suite 201, Kenosha, WI 53144 | 2006-10-31 |
| 1003919697 | Pushparanee Babusukumar | Psychiatry & Neurology | 3535 30th Ave, Suite 201, Kenosha, WI 53144-1632 | 2006-09-07 |
| 1588673644 | Vanessa Q Chang | Psychiatry & Neurology | 10400 75th St, #307, Kenosha, WI 53142-8323 | 2006-08-07 |
| Find all providers in KENOSHA | ||||
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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.