DR. MICHAEL S. KOTKIN (NPI# 1316097843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316097843 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL S. KOTKIN |
| Credential | PH.D |
| Practice Address |
9415 W. Forest Home Ave. Suite 104 Hales Corners WI 53130 |
| Practice Telephone | 4148589191 |
| Practice Fax Number | 4148589192 |
| Mailing Telephone | (414) 858-9191 |
| Mailing Fax Number | 4148589192 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2017-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 964 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39095900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598805251 | Michael M Kotkin | Podiatrist | 70 Glen St Ste 300, Glen Cove, NY 11542 | 2007-02-08 |
| Street Address |
9415 W. FOREST HOME AVE. SUITE 104 |
| City | HALES CORNERS |
| State | WI |
| Zip Code | 53130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962995563 | Leo A Levesque IIi | Chiropractor | Chiro One Wellness Center of Hales Corners LLC, 5305 S 108th St, Hales Corners, WI 53130 | 2018-06-08 |
| 1730512286 | Rebecca Lynn Gnas | Chiropractor | 10731 W. Forest Home Avenue, Hales Corners, WI 53130 | 2013-08-19 |
| 1588713705 | Dennis Keith Wolf | Social Worker | 12065 W Janesville Road, Hales Corners, WI 53130 | 2007-01-09 |
| 1124186978 | Briar House Facility Lpc Briar I | Assisted Living Facility | 10133 W Brookside Dr, Hales Corner, WI 53130 | 2006-12-05 |
| 1598837171 | Gilbert Jerome Brickler | Dentist | 6080 South 108th St, Suite 111 Gilbert J Brickler Dds, Hales Corners, WI 53130 | 2006-11-15 |
| 1306957840 | Donald Allen Whitlock | Dentist | 11035 W. Forest Home Ave, #116, Hales Corners, WI 53130 | 2006-08-31 |
| 1528074309 | James C. Boudreau, Dpm, Sc | Podiatrist | 6191 S. 108th St., Hales Corners, WI 53130 | 2006-07-31 |
| 1912441437 | Katheryn Elizabeth Hurst | Physical Therapist | 5764 S 108th St, Hales Corners, WI 53130 | 2016-12-19 |
| 1417115700 | Richard Anthony Mueller | Dentist | 11801 W Janesville Rd, Hales Corners, WI 53130 | 2008-05-23 |
| 1023118973 | Donald Allen Kwarciany | Dentist | 11035 W Forest Home Ave, 116, Hales Corners, WI 53130 | 2006-09-22 |
| Find all providers in zip 53130 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508058744 | Jennifer Lyn Burton | Psychologist | 11035 W Forest Home Ave, Hales Corners, WI 53130-2541 | 2007-08-12 |
| 1790824803 | M Burton Psychological Services | Psychologist | 11035 W Forest Home Ave, Hales Corners, WI 53130-2541 | 2007-02-05 |
| 1497762728 | Mary Louise Bell | Psychologist | 10691 W Parnell Ave, Hales Corners, WI 53130-2070 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205445590 | Elizabeth Ann Mullen-houser | Psychologist | 1507 Winnebago St, La Crosse, WI 54601-4967 | 2020-07-23 |
| 1073138327 | Rachel Kahn | Psychologist | 501 Acacia Ln, Madison, WI 53716-3238 | 2020-06-12 |
| 1184248593 | Jill Mallin | Psychologist | 10 S Water St E, Fort Atkinson, WI 53538-2053 | 2020-06-01 |
| 1669095303 | Generational Cycles LLC | Psychologist | 2208 W Rohr Ave, Milwaukee, WI 53209-5057 | 2020-05-27 |
| 1518529718 | Ellen Marie Meier-licht | Psychologist | 200 N Mall Dr, Appleton, WI 54913-8500 | 2019-07-08 |
| 1396309076 | John Nathaniel Greene Jr. | Psychologist | 6100 N 42nd St, Milwaukee, WI 53209-3560 | 2019-04-27 |
| 1396201455 | Pathways Counseling Services | Psychologist | 1025 56th St, Kenosha, WI 53140-3737 | 2019-02-13 |
| 1912461385 | We All Rise Counseling Services LLC | Psychologist | 529 S Jefferson St Ste 201, Green Bay, WI 54301-4125 | 2019-01-30 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1295202976 | Pkm Clinical Solutions LLC | Psychologist | W206s7867 Pasadena Dr, Muskego, WI 53150-9532 | 2018-10-31 |
| Find all providers with the same taxonomy | ||||
| City | HALES CORNERS |
| Zip Code | 53130 |
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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.