DR. KATHERINE M FLYNN (NPI# 1376720359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376720359 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE M FLYNN |
| Credential | PSY.D. |
| Practice Address |
12225 71st St Kenosha WI 53142-7320 |
| Practice Telephone | 2629484780 |
| Mailing Telephone | 2629484780 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2018-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43728900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700958295 | Katherine Jane Flynn | Counselor | 5009 Excelsior Blvd Ste 134, St Louis Park, MN 55416-3049 | 2006-11-14 |
| 1639654171 | Katherine Ross Flynn | Nurse Practitioner | 439 N Jackson St, Brookhaven, MS 39601-2952 | 2018-10-01 |
| 1588155378 | Katherine Elizabeth Flynn | Social Worker | 15 Parkman St, Boston, MA 02114-3117 | 2018-05-29 |
| 1265977953 | Katherine Leigh Wagenman Flynn | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045 | 2017-01-04 |
| 1396133799 | Katherine Flynn | Physician Assistant | 601 N Caroline St, Baltimore, MD 21287-0006 | 2015-01-07 |
| 1427460989 | Katherine Flynn | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2014-06-02 |
| 1134461130 | Katherine M Flynn | Behavioral Analyst | 1200 W South Boulder Rd, 203, Lafayette, CO 80026-3546 | 2013-03-18 |
| 1326360470 | Katherine M Flynn | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2010-02-17 |
| 1982839163 | Katherine E Flynn | Counselor | 20 York St, New Haven, CT 06510-3220 | 2009-05-18 |
| 1396794715 | Katherine S Flynn | Optometrist | 43309 Us Highway 19 N, Tarpon Springs, FL 34689-6221 | 2006-05-10 |
| Street Address |
12225 71ST ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-7320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679963706 | Jill R Lotz | Nurse Practitioner | 12225 71st St, Kenosha, WI 53142-7320 | 2015-01-27 |
| 1023354214 | Adam M Stoll | Social Worker | 12225 71st St, Kenosha, WI 53142-7320 | 2012-12-17 |
| 1912252198 | Tarra Anne Combs | Clinical Neuropsychologist | 12225 71st St, Kenosha, WI 53142 | 2012-07-13 |
| 1801152673 | Juvaria Shahabuddin | Psychiatry & Neurology | 12225 71st St, Kenosha, WI 53142-7320 | 2012-04-05 |
| 1558642629 | Rebecca Bons | Psychologist | 12225 71st St, Kenosha, WI 53142-7320 | 2011-09-02 |
| 1912206384 | Jawad Pervez | Psychiatry & Neurology | 12225 71st St, Kenosha, WI 53142-7320 | 2011-03-24 |
| 1770812984 | Peggy A Horon | Counselor | 12225 71st St, Kenosha, WI 53142-7320 | 2009-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| 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 |
|---|---|---|---|---|
| 1396201455 | Pathways Counseling Services | Psychologist | 1025 56th St, Kenosha, WI 53140-3737 | 2019-02-13 |
| 1407294937 | David T Marx | Psychologist | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2013-06-06 |
| 1558642629 | Rebecca Bons | Psychologist | 12225 71st St, Kenosha, WI 53142-7320 | 2011-09-02 |
| 1396039632 | Danielle Defreese | Psychologist | 10400 75th St, Kenosha, WI 53142-7884 | 2011-06-03 |
| 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 |
| 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 |
| 1649747486 | Celeste Hunter | Psychologist | 2916 Marketplace Dr Ste 104, Fitchburg, WI 53719-5327 | 2018-10-30 |
| 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.