DR. ANGELA MALLMANN (NPI# 1568795250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568795250 |
| Entity Type | Individual |
| Full Name | DR. ANGELA MALLMANN |
| Credential | PSY.D., LPC |
| Practice Address |
4811 S 76th St 401 Greenfield WI 53220-4364 |
| Practice Telephone | 4143257741 |
| Practice Fax Number | 4143257753 |
| Mailing Telephone | 4143257741 |
| Mailing Fax Number | 4143257753 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2017-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100031505 | 05 |
| Street Address |
4811 S 76TH ST 401 |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53220-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871587386 | Thomas H Crawford | Counselor | 4811 S 76th St, Suite 401, Greenfield, WI 53220-4364 | 2005-09-12 |
| 1013363191 | Child and Family Therapeutic Systems | Community/Behavioral Health | 4811 S 76th St, Suite 401, Greenfield, WI 53220 | 2016-05-09 |
| 1730421058 | Jennifer H. Martin | Counselor | 4811 S 76th St, Suite 401, Greenfield, WI 53220-4364 | 2013-03-25 |
| 1467714063 | Paul A Salerno Jr. | Social Worker | 4811 S 76th St, Suite 208, Greenfield, WI 53220-4364 | 2012-06-11 |
| 1306081559 | Sleepmed Therapies, Inc | Durable Medical Equipment & Medical Supplies | 4811 S 76th St, Suite 16, Greenfield, WI 53220-4364 | 2008-12-02 |
| 1356504096 | Robert Goeckermann | Dentist | 4811 S 76th St, Suite 304, Greenfield, WI 53220-4364 | 2008-07-02 |
| 1871611160 | Robert C Hugl | Social Worker | 4811 S 76th St, Suite 401, Greenfield, WI 53220-4364 | 2007-03-26 |
| 1730239393 | John E Basich | Allergy & Immunology | 4811 S 76th St, Suite 400, Greenfield, WI 53220-4364 | 2007-01-12 |
| 1659431534 | Kathleen Laney Vogt | Social Worker | 4811 S 76th St, Greenfield, WI 53220-4364 | 2006-12-11 |
| 1922176395 | Child & Family Therapeutic Systems S.c. | Counselor | 4811 S 76th St, Suite 401, Greenfield, WI 53220-4364 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
| 1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
| 1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
| 1730601675 | Rosaana Avila | Physical Therapist | 3944 S. 60th St., Milwaukee, WI 53220 | 2017-07-12 |
| 1285002667 | Casey E Reis | Nurse Practitioner | 4848 S. 76th Street, Greenfield, WI 53220 | 2015-09-02 |
| 1437539798 | Luke Robert Garceau | Physical Therapist | 6520 W. Layton Ave #101, Greenfield, WI 53220 | 2015-06-02 |
| 1295139012 | Tammy Giannopoulos, LLC | Clinic/Center | 4402 S 68th St Suite 100, Greenfield, WI 53220 | 2014-10-22 |
| 1861754244 | Lakeshore Medical Clinic | Occupational Therapist | 4444 West Loomis Road, 200, Greenfield, WI 53220 | 2012-06-12 |
| 1598083115 | Rebecca Anne Kappes | Licensed Practical Nurse | 8208 W Tripoli, Milwaukee, WI 53220 | 2010-05-06 |
| 1699941005 | Susan Marie Delaet | Physical Therapy Assistant | 5700 West Layton Ave, Greenfield, WI 53220 | 2008-05-06 |
| Find all providers in zip 53220 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395038 | Rhiannon Kohloff | Counselor | 3700 S Rivershire Dr Apt 3, Greenfield, WI 53228-1161 | 2020-04-24 |
| 1417408253 | Amy Jeffries | Counselor | 406 College St # 2, Greenfield, MO 65661-1346 | 2016-10-17 |
| 1336690353 | Mary Durand | Counselor | 10777 W Beloit Rd, Greenfield, WI 53228-1225 | 2016-10-14 |
| 1538365614 | Sac River Counseling, Inc. | Counselor | 406 College St, #2, Greenfield, MO 65661-1346 | 2007-06-25 |
| 1417955774 | Pauline Ann Preuss | Counselor | 6944 W Forest Home Ave, Greenfield, WI 53220-2917 | 2005-07-11 |
| 1730421058 | Jennifer H. Martin | Counselor | 4811 S 76th St, Suite 401, Greenfield, WI 53220-4364 | 2013-03-25 |
| 1659637643 | Suraya Rose Sarae | Counselor | 140 High St, Greenfield, MA 01301-2702 | 2012-04-04 |
| 1164729075 | Rebecca Mihm | Counselor | 140 High St, Greenfield, MA 01301-2702 | 2011-02-12 |
| 1467761379 | Christian J Michau | Counselor | 310 E Hewitt Ave, Ste C, Greenfield, MO 65661-1138 | 2010-09-27 |
| 1639301104 | Amy Lynn Lopez | Counselor | 4402 S 68th St, Suite 100, Greenfield, WI 53220-3479 | 2009-08-18 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 53220 |
Please comment or provide details below to improve the information on DR. ANGELA MALLMANN.
| 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.