MARIAH HEWITT (NPI# 1558305409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558305409 |
| Entity Type | Individual |
| Full Name | MARIAH HEWITT |
| Other Name | MARIAH FELDE |
| Credential | PSYD |
| Practice Address |
840 Lake Ave Ste 101 Racine WI 53403-1566 |
| Mailing Address |
409 Kennedy Ct W Colgate WI 53017-9749 |
| Practice Telephone | 2626348688 |
| Practice Fax Number | 2626347547 |
| Mailing Telephone | 2629934402 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2534-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40960500 | 05 |
| Street Address |
840 LAKE AVE STE 101 |
| City | RACINE |
| State | WI |
| Zip Code | 53403-1566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275586323 | Racine Psychological Services, Inc. | Clinic/Center | 840 Lake Ave, Suite 101, Racine, WI 53403-1566 | 2006-05-18 |
| 1013166891 | Sammy Joe Rangel | Counselor | 840 Lake Ave, 101, Racine, WI 53403-1566 | 2008-09-16 |
| 1619148970 | Regina Marlene Hadley | Counselor | 840 Lake Ave, 101, Racine, WI 53403-1566 | 2008-03-14 |
| 1225168891 | Jean Marie Pruscha | Counselor | 840 Lake Ave, Suite 101, Racine, WI 53403-1566 | 2007-03-06 |
| 1316021405 | D Martin Hayden | Psychologist | 840 Lake Ave, Racine, Racine, WI 53403-1566 | 2006-10-25 |
| 1710925151 | Paul Wilhelm Voelkel | Psychologist | 840 Lake Ave, Suite 101, Racine, WI 53403-1566 | 2006-06-04 |
| 1134175334 | Mary Jane Whitmore | Counselor | 840 Lake Ave, Suite 101, Racine, WI 53403-1566 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104052554 | Anthony Donald Wendorf | Psychologist | 840 Lake Avenue, Suite 101, Racine, WI 53403-1550 | 2009-05-29 |
| 1760696074 | Joyce Shirley Degenhart | Psychologist | 11 Greenwood Ct, Racine, WI 53402-1248 | 2007-05-09 |
| 1477623643 | Psychological & Counseling Services Inc | Psychologist | 6929 Mariner Dr Unit D, Racine, WI 53406-3938 | 2006-11-08 |
| 1033295571 | Russell William Kinkade Jr. | Psychologist | 6214 Washington Avenue, Suite C 10, Racine, WI 53406 | 2006-10-27 |
| 1326310459 | Rondi J Rork Phd LLC | Psychologist | 6015 Durand Ave, Suite 450, Racine, WI 53406-5089 | 2012-02-06 |
| 1164723409 | Marie M Miller | Psychologist | 3701 Durand Ave, Suite 325, Racine, WI 53405-4458 | 2010-11-03 |
| 1558577395 | Martin James Poe | Psychologist | 5200 Washington Ave, Suite 203, Racine, WI 53406-4238 | 2007-05-16 |
| 1437377900 | Shamin Catherine Jaffer Ladhani | Psychologist | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2007-04-23 |
| 1669695136 | Jill M Peterson | Psychologist | 3801 Spring St, Racine, WI 53405-1667 | 2007-04-11 |
| 1134288392 | Tammy Lynn Zimmel | Psychologist | 3701 Durand Ave, Suite 325, Racine, WI 53405-4458 | 2006-12-06 |
| Find all providers in RACINE | ||||
Please comment or provide details below to improve the information on MARIAH HEWITT.
| 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.