INDU J DAVE (NPI# 1396801148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396801148 |
| Entity Type | Individual |
| Full Name | INDU J DAVE |
| Credential | M.D. |
| Practice Address |
410 S Walnut St Appleton WI 54911-5920 |
| Practice Telephone | 9208325270 |
| Mailing Telephone | 9208325270 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2011-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
33157 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32450000 | 05 | |
| WI | DEA | AD1399674 | 01 |
| Street Address |
410 S WALNUT ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-5920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760883789 | Nancy Matelski | Counselor | 410 S Walnut St, Appleton, WI 54911-5920 | 2014-09-09 |
| 1063758902 | Kate E Siebers | Counselor | 410 S Walnut St, Appleton, WI 54911-5920 | 2012-12-21 |
| 1043485683 | Steve S Schotten | Counselor | 410 S Walnut St, Appleton, WI 54911-5920 | 2008-04-24 |
| 1659546299 | Judy M Vanryzin | Social Worker | 410 S Walnut St, Appleton, WI 54911-5920 | 2008-04-24 |
| 1629243365 | Angela M Dagitz | Counselor | 410 S Walnut St, Appleton, WI 54911-5920 | 2008-04-24 |
| 1699951566 | Kurt A Nelson | Social Worker | 410 S Walnut St, Appleton, WI 54911-5920 | 2008-01-10 |
| 1013192996 | Pablo E Serna | Counselor | 410 S Walnut St, Appleton, WI 54911-5920 | 2008-01-09 |
| 1245414762 | Jeanne E Roberts | Counselor | 410 S Walnut St, Appleton, WI 54911-5920 | 2007-12-19 |
| 1124202650 | Pennie J Linna | Counselor | 410 S Walnut St, Appleton, WI 54911-5920 | 2007-12-19 |
| 1992989446 | Kimberly Collins | Social Worker | 410 S Walnut St, Appleton, WI 54911-5920 | 2007-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| 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 |
|---|---|---|---|---|
| 1225161516 | Michael J Panzer | Psychiatry & Neurology | 1531 S Madison Street, #550, Appleton, WI 54915 | 2007-03-14 |
| 1881760163 | Barbara Waedekin | Psychiatry & Neurology | 4351 West College Ave, Suite 300, Appleton, WI 54914 | 2006-11-28 |
| 1689680936 | Dennis M Fitzsimmons | Psychiatry & Neurology | 121 E Water St, #317, Appleton, WI 54911-5775 | 2006-07-31 |
| 1144242363 | Herbert Martin Allen | Psychiatry & Neurology | 3301 N Ballard Rd, Suite C, Appleton, WI 54911-8988 | 2006-07-24 |
| 1083634695 | Padma Reddi | Psychiatry & Neurology | 10 Tri Parkway, Appleton, WI 54914 | 2006-07-20 |
| 1245225069 | John D Robinson | Psychiatry & Neurology | 1708 South Weimar Street, Appleton, WI 54915 | 2005-09-19 |
| 1962496984 | Deborah L Scuglik | Psychiatry & Neurology | 1531 S. Madison St., Appleton, WI 54915 | 2005-09-06 |
| 1255695888 | Gbolahan Damilola Oyinloye | Psychiatry & Neurology | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2012-06-28 |
| 1922395623 | Cheong Wai Chan | Psychiatry & Neurology | 1531 S Madison St, Appleton, WI 54915-1800 | 2011-06-30 |
| 1619134137 | New Behavioral Medicine LLC | Psychiatry & Neurology | 200 E Washington St, Appleton, WI 54911-5490 | 2008-05-21 |
| Find all providers in APPLETON | ||||
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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.