ROGER S KAMINSKI (NPI# 1427088954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427088954 |
| Entity Type | Individual |
| Full Name | ROGER S KAMINSKI |
| Credential | PSYD |
| Practice Address |
2025 E Newport Ave Milwaukee WI 53211-2906 |
| Practice Telephone | 4142986739 |
| Mailing Telephone | 4142986739 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1486-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39122900 | 05 |
| Street Address |
2025 E NEWPORT AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972585529 | James Sherry | Specialist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2005-11-18 |
| 1255644506 | Anne Catherine Melvin | Physician Assistant | 2025 E Newport Ave, S217, Milwaukee, WI 53211-2906 | 2010-07-15 |
| 1952636946 | Emily Markowski | Physical Therapist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2009-10-08 |
| 1841428612 | Mindy Stollenwerk | Physical Therapist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2009-06-30 |
| 1467680959 | Maureen Foley Nuechterlein | Dietitian, Registered | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2009-06-23 |
| 1578798930 | Timothy E Mcelroy | Counselor | 2025 E Newport Ave, Suite 404, Milwaukee, WI 53211-2906 | 2009-05-28 |
| 1992947899 | Matthew William Mestelle | Physical Therapist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2009-03-24 |
| 1164687646 | David Charles Osmon | Clinical Neuropsychologist | 2025 E Newport Ave, Sacred Heart Rehabilitation Institute, Milwaukee, WI 53211 | 2008-07-23 |
| 1932368370 | Katherine Rogers | Speech-Language Pathologist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2008-06-02 |
| 1578772760 | Melanie Kay Hertzog | Occupational Therapist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2007-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
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| 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 |
|---|---|---|---|---|
| 1669095303 | Generational Cycles LLC | Psychologist | 2208 W Rohr Ave, Milwaukee, WI 53209-5057 | 2020-05-27 |
| 1396309076 | John Nathaniel Greene Jr. | Psychologist | 6100 N 42nd St, Milwaukee, WI 53209-3560 | 2019-04-27 |
| 1851889901 | Elliot L Broch | Psychologist | 3266 N 53rd St, Milwaukee, WI 53216-3248 | 2018-04-24 |
| 1457858573 | Nina Sathasivam-rueckert | Psychologist | Zablocki Va Medical Center 5000 West National Avenue, Milwaukee, WI 53295 | 2018-04-06 |
| 1043730864 | Venice Anderson | Psychologist | 5000 W National Ave Bldg 109, Milwaukee, WI 53295-0001 | 2017-06-22 |
| 1306230057 | Henry Boeh | Psychologist | 250 N. Sunnyslope Road, Suite 203, Milwaukee, WI 53213-3574 | 2015-03-19 |
| 1851794382 | Dr. Robert A Gruenberg | Psychologist | 6213 N Green Bay Ave., Milwaukee, WI 53209-3823 | 2014-09-29 |
| 1538590393 | Psychological Purposes LLC | Psychologist | 3229 S Adams Ave, Milwaukee, WI 53207-2705 | 2013-12-04 |
| 1568890150 | David Phelps | Psychologist | 401 E Kilbourn Ave, Suite 402, Milwaukee, WI 53202-3212 | 2013-10-17 |
| 1366788994 | Christina Mh Engn | Psychologist | 740 N Plankinton Ave Ste 334, Milwaukee, WI 53203-2403 | 2012-12-31 |
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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.