PHILLIP L. STALL (NPI# 1336529932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336529932 |
| Entity Type | Individual |
| Full Name | PHILLIP L. STALL |
| Credential | MD |
| Practice Address |
2600 Humes Rd Ste 100 Janesville WI 53545-0491 |
| Practice Telephone | 6087412117 |
| Practice Fax Number | 6087585761 |
| Mailing Telephone | 6087412117 |
| Mailing Fax Number | 6087585761 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
73247-20 | WI | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
125067407 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 Main St Ste 720, Peoria, IL 616025027 | 3094951640 | 3094951644 |
| Street Address |
2600 HUMES RD STE 100 |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53545-0491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851546667 | Amanda L Ballard | Counselor | 2600 Humes Rd Ste 100, Janesville, WI 53545 | 2008-11-20 |
| 1376178350 | Monica L. Hinkle | Social Worker | 2600 Humes Rd Ste 100, Janesville, WI 53545-0491 | 2020-03-10 |
| 1467082313 | Jacquelyn M. O'flahrity | Social Worker | 2600 Humes Rd Ste 100, Janesville, WI 53545-0491 | 2020-01-20 |
| 1972163004 | Danielle R. Ebben | Counselor | 2600 Humes Rd Ste 100, Janesville, WI 53545-0491 | 2019-06-20 |
| 1518521186 | Debra K. Westby | Social Worker | 2600 Humes Rd Ste 100, Janesville, WI 53545-0491 | 2019-04-29 |
| 1881165991 | Sarah A. Wellnitz | Social Worker | 2600 Humes Rd Ste 100, Janesville, WI 53545-0491 | 2018-12-16 |
| 1568986578 | Deborah A. Dubanowich | Counselor | 2600 Humes Rd Ste 100, Janesville, WI 53545-0491 | 2017-08-01 |
| 1699143909 | Jessica L Jach | Social Worker | 2600 Humes Rd Ste 100, Janesville, WI 53545-0491 | 2015-09-03 |
| 1194043554 | Rathna Sree Mallela | Psychiatry & Neurology | 2600 Humes Rd Ste 100, Janesville, WI 53545-0491 | 2010-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730743816 | Wisteria Lyn Gunnink | Social Worker | 3530 N County Highway F, Janesville, WI 53545 | 2019-04-24 |
| 1730601295 | Selma Mohammedi | Dentist | 1260 Milton Ave Ste 140-150, Janesville, WI 53545 | 2017-07-16 |
| 1205357472 | Andrea Jayne Thompson | Physical Therapist | 3418 N Parker Dr., Janesville, WI 53545 | 2017-06-28 |
| 1639549983 | Sylvia Andrus | Physical Therapy Assistant | 3400 N Country Highway F, Janesville, WI 53545 | 2015-09-30 |
| 1518372564 | Kimberly Ann Bishop | Registered Nurse | 32 E. Racine Street, Suite 150, Janesville, WI 53545 | 2014-06-29 |
| 1679998314 | Quirt Family Dentistry | Dentist | 2201 Humes Road Suite 150, Janesville, WI 53545 | 2014-03-04 |
| 1104163740 | Sarah J Fredricks | Licensed Practical Nurse | 1406 Holiday Drive, Janesville, WI 53545 | 2013-01-15 |
| 1659629335 | Parvin Mesbah | Pharmacist | 2017 Old Humes Road, T-0809, Janesville, WI 53545 | 2012-08-28 |
| 1962797118 | Tiffany Schmidt | Pharmacist | 2017 Humes Road, T-0809, Janesv Ille, WI 53545 | 2011-06-16 |
| 1174817795 | Megan Steiner | Dentist | 1504 Creston Park Drive, Janesville, WI 53545 | 2011-05-31 |
| Find all providers in zip 53545 | ||||
| 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 |
|---|---|---|---|---|
| 1528135795 | Beth Ann Blakeslee | Psychiatry & Neurology | 3506 N Us Highway 51, Janesville, WI 53545-0726 | 2006-11-30 |
| 1518053552 | Robert L Kalember | Psychiatry & Neurology | 3418 North County Trunk Highway, Rock Haven, Janesville, WI 53547-0351 | 2006-10-05 |
| 1275829269 | Ahadullah Khan | Psychiatry & Neurology | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2011-06-28 |
| 1831393768 | Angela C Janis | Psychiatry & Neurology | 3200 E Racine St, Janesville, WI 53546-2343 | 2007-06-13 |
| 1730200619 | Deb L Arter | Psychiatry & Neurology | 35 S Main St, Janesville, WI 53545-3922 | 2007-04-02 |
| 1841366259 | Tina L. Kosnar | Psychiatry & Neurology | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2006-11-28 |
| 1255416467 | Howard J Gartland | Psychiatry & Neurology | 557 N Washington St, Janesville, WI 53548-2907 | 2006-10-26 |
| 1548351398 | Jennifer L Stoll | Psychiatry & Neurology | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2006-09-27 |
| 1477662161 | Sue Ann Callison | Psychiatry & Neurology | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2006-08-29 |
| 1780604025 | William E Ayetey | Psychiatry & Neurology | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2006-07-20 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53545 |
Please comment or provide details below to improve the information on PHILLIP L. STALL.
| 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.