MR. JAMES PAUL HEIDER (NPI# 1477743862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477743862 |
| Entity Type | Individual |
| Full Name | MR. JAMES PAUL HEIDER |
| Credential | ED.S. |
| Practice Address |
1540 Capitol Dr Suite 104 Green Bay WI 54303-2235 |
| Practice Telephone | 9204919800 |
| Practice Fax Number | 9204919800 |
| Mailing Telephone | 9204919800 |
| Mailing Fax Number | 9204919800 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
970057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39081000 | 05 |
| Street Address |
1540 CAPITOL DR SUITE 104 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679025134 | Patricia Johnson | Counselor | 1540 Capitol Dr, Green Bay, WI 54303-2235 | 2016-11-01 |
| 1396936175 | Ecumenical Health Center | Psychologist | 1540 Capitol Dr, Suite 104, Green Bay, WI 54303-2235 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932324332 | Ursula Bertrand | Psychologist | 130 E. Walnut Street, 604, Green Bay, WI 54301 | 2007-04-13 |
| 1992920300 | Psychological Consulatnts S.c. | Psychologist | 130 E. Walunt Street, 604, Green Bay, WI 54301 | 2007-04-13 |
| 1770858466 | Heidi Ann Bemowski | Psychologist | 2851 University Ave, Green Bay, WI 54311-5855 | 2012-03-14 |
| 1144552225 | Bellin Psychiatric Center Inc | Psychologist | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2010-02-01 |
| 1396936175 | Ecumenical Health Center | Psychologist | 1540 Capitol Dr, Suite 104, Green Bay, WI 54303-2235 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629607619 | Eleanor Arlene Tidball | Psychologist | 13320 W Grange Ave, New Berlin, WI 53151-8131 | 2020-04-02 |
| 1134769441 | Graham Gardner Knowlton | Psychologist | Milwaukee Vamc 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-01-14 |
| 1477197929 | Samuel David Lustgarten | Psychologist | 1025 W Johnson St Rm 303b, Madison, WI 53706-1706 | 2019-10-28 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1770133555 | Kerrin Sendrowitz O'connor | Psychologist | 1509 S Outagamie St, Appleton, WI 54914-5580 | 2019-09-13 |
| 1982193546 | Samantha Jo Schwartz-oscar | Psychologist | 2809 School Rd, Greenleaf, WI 54126-9209 | 2018-05-08 |
| 1790202851 | Wisconsin Lutheran Child & Family Service | Psychologist | 2669 N Richards St, Milwaukee, WI 53212-2850 | 2017-08-29 |
| 1902337785 | Carla Mae Davey | Psychologist | 333 E Campus Mall Rm 7, University Health Services, Madison, WI 53715-1740 | 2017-03-23 |
| 1558739300 | Hayley Shilling | Psychologist | 6602 Grand Teton Plz Ste 100, Madison, WI 53719-2905 | 2015-09-10 |
| 1568850840 | Belinda Gutierrez | Psychologist | 2500 Overlook Terrace, 116b, William S. Middleton Memorial Veterans Hospital, Madison, WI 53705-2286 | 2015-01-08 |
| 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.