MS. JANE MARBURY KEGGI (NPI# 1578625539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578625539 |
| Entity Type | Individual |
| Full Name | MS. JANE MARBURY KEGGI |
| Other Name | MS. JANE MASSIE MARBURY |
| Credential | MSW LCSW |
| Practice Address |
103 W College Ave Suite 815 Appleton WI 54911 |
| Practice Telephone | 9207331992 |
| Practice Fax Number | 9207331866 |
| Mailing Telephone | 9207331992 |
| Mailing Fax Number | 9207331866 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | LCSW 594-123 | WI | Behavioral Health & Social Service Providers |
| X | 104100000X | Social Worker | LCSW 594-123 | WI | Behavioral Health & Social Service Providers |
| Street Address |
103 W COLLEGE AVE SUITE 815 |
| City | APPLETON |
| State | WI |
| Zip Code | 54911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710073804 | Robert Burkham | Psychologist | 103 W College Ave, Suite 815, Appleton, WI 54911 | 2006-10-05 |
| 1669700761 | Robert Burkham, Ph.d., S.c. | Psychologist | 103 W College Ave, Suite 611, Appleton, WI 54911-5770 | 2009-12-01 |
| 1275765513 | Hall Psychological Services LLC | Clinic/Center | 103 W College Ave, Suite 611, Appleton, WI 54911-5770 | 2009-08-20 |
| 1679720650 | Gerald Ike Metalsky | Psychologist | 103 W College Ave, Suite 1125, Appleton, WI 54911-5770 | 2008-08-21 |
| 1992905038 | Craig Joseph Martin | Chiropractor | 103 W College Ave, Suite 406, Appleton, WI 54911-5770 | 2007-07-18 |
| 1104960376 | Cary Ann Backenger | Counselor | 103 W College Ave, Appleton, WI 54911-5770 | 2007-02-19 |
| 1174672000 | Diane Wizner | Counselor | 103 W College Ave, Suite 815, Appleton, WI 54911-5770 | 2007-01-09 |
| 1790847655 | Ellen C Needham | Counselor | 103 W College Ave, #815, Appleton, WI 54911 | 2006-12-15 |
| 1649354077 | Wellness Counseling Center, L.L.C. | Counselor | 103 W College Ave, Suite 815, Appleton, WI 54911-5770 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| 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 |
|---|---|---|---|---|
| 1518529718 | Ellen Marie Meier-licht | Psychologist | 200 N Mall Dr, Appleton, WI 54913-8500 | 2019-07-08 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1609065929 | Sue A.w. Melcher | Psychologist | 2800 E Enterprise Ave, Suite 1, Appleton, WI 54913-7889 | 2007-10-23 |
| 1316130404 | Jessica R Schroeder | Psychologist | 510 E Wisconsin Ave, Suite 1, Appleton, WI 54911-4865 | 2007-08-22 |
| 1235251349 | Sherman Counseling Management, LLC | Psychologist | W6144 Aerotech Drive, Suite D, Appleton, WI 54914-7503 | 2007-04-06 |
| 1548313869 | Steven P Kaplan | Psychologist | 477 S Nicolet Rd, Appleton, WI 54914-8270 | 2007-01-19 |
| 1710073804 | Robert Burkham | Psychologist | 103 W College Ave, Suite 815, Appleton, WI 54911 | 2006-10-05 |
| 1548355084 | Valerie Amelie Delain | Psychologist | 103 W College Ave Ste 1125, Appleton, WI 54911-5744 | 2006-10-03 |
| 1114025343 | Brandon B Hayes | Psychologist | 4351 W College Ave Ste 410, Appleton, WI 54914 | 2006-09-20 |
| 1700897766 | Steven P. Klein | Psychologist | 5733 W Grande Market Dr, Appleton, WI 54913-8472 | 2006-08-11 |
| Find all providers in APPLETON | ||||
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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.