CALLIE SCHROEDER (NPI# 1457843559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457843559 |
| Entity Type | Individual |
| Full Name | CALLIE SCHROEDER |
| Credential | PHD |
| Practice Address |
339 Reed Ave Manitowoc WI 54220-2020 |
| Mailing Address |
Po Box 2290 Manitowoc WI 54221-2290 |
| Practice Telephone | 9203208600 |
| Mailing Telephone | 9203202591 |
| Mailing Fax Number | 9203205102 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2019-01-07 |
| 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 | ||
| N | 104100000X | Social Worker | 6923 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WI LICENSE | 3632 | 01 |
| Street Address |
339 REED AVE |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54220-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437132701 | Lee A Werner | Nurse Practitioner | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2005-11-21 |
| 1932699063 | Amanda Hartwig | Counselor | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2018-05-15 |
| 1124565882 | Brenda Stallbaum | Nurse Practitioner | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2017-01-19 |
| 1457521866 | Mylan Vaugeois Kohler | Psychiatry & Neurology | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2008-03-03 |
| 1447448071 | Robin S Coleman | Clinical Nurse Specialist | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2007-10-09 |
| 1932120607 | Cameron A Goetz | Psychologist | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2006-07-21 |
| 1467473074 | Holy Family Memorial Inc | Clinic/Center | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2006-07-21 |
| 1659391605 | Deborah A Peterman | Counselor | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2006-07-20 |
| 1376563221 | Mary S Christensen | Social Worker | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2006-07-20 |
| 1053331090 | Marianne E Webers | Social Worker | 339 Reed Ave, Manitowoc, WI 54220-2020 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
| 1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
| 1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
| 1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
| 1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
| 1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
| 1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
| Find all providers in zip 54220 | ||||
| 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 |
|---|---|---|---|---|
| 1841464716 | Lea Weidner Cole | Psychologist | 926 South 8th Street, Manitowoc, WI 54221-1177 | 2008-04-22 |
| 1831301464 | Lakeview Psychological Associates Sc | Psychologist | 1020 Maritime Dr, Manitowoc, WI 54220-2922 | 2007-05-04 |
| 1700960713 | Daniel Joseph Burbach | Psychologist | 1020 Maritime Dr, Manitowoc, WI 54220 | 2006-10-25 |
| 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 |
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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.