DR. JAMIE ROBERTS (NPI# 1578843405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578843405 |
| Entity Type | Individual |
| Full Name | DR. JAMIE ROBERTS |
| Other Name | JAMIE RADONSKI |
| Credential | PSY.D. |
| Practice Address |
9916 75th St Kenosha WI 53142-7583 |
| Practice Telephone | 2629424000 |
| Practice Fax Number | 2629427740 |
| Mailing Telephone | 2629424000 |
| Mailing Fax Number | 2629427740 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2016-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 4636-125 | WI | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 3092-57 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1578843405 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578822284 | Jamie Elizabeth Roberts | Dentist | 401 Connecticut Ave, Norfolk, VA 23508-2703 | 2012-05-15 |
| 1497242655 | Jamie Ann Roberts | Nurse Practitioner | 1886 59th St W, Bradenton, FL 34209-4630 | 2018-04-13 |
| 1871097832 | Jamie Roberts | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-03-22 |
| 1508380189 | Jamie Colleen Roberts | Social Worker | 5013 Wrightsville Ave, Wilmington, NC 28403-7045 | 2017-07-26 |
| 1467997320 | Jamie M Roberts | Nurse Anesthetist, Certified Registered | 800 E Dawson St, Tyler, TX 75701 | 2017-01-03 |
| 1497107643 | Jamie Danielle Roberts | Marriage & Family Therapist | 10850 Wilshire Blvd Ste 200, Los Angeles, CA 90024-4315 | 2016-07-11 |
| 1235577537 | Jamie Howell Roberts | Physician Assistant | 7730 Dannaher Dr, Powell, TN 37849-4039 | 2013-06-07 |
| 1598048704 | Jamie Michele Roberts | Physician Assistant | 875 Poplar Church Rd, Suite 320, Camp Hill, PA 17011-2203 | 2011-09-23 |
| 1447539424 | Jamie Roberts | Case Manager/Care Coordinator | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2011-08-09 |
| 1366769523 | Jamie Roberts | Registered Nurse | 676 Ne Negus Way, Redmond, OR 97756-8527 | 2010-04-28 |
| Street Address |
9916 75TH ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-7583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689744286 | B7 Pharmacy, Inc. | Pharmacy | 9916 75th St, Suite 203, Kenosha, WI 53142-7583 | 2006-11-09 |
| 1497234256 | Mehwish Aqueel | Counselor | 9916 75th St, Kenosha, WI 53142-7583 | 2018-08-12 |
| 1700281607 | Richard Calteux | Pharmacist | 9916 75th St, 203, Kenosha, WI 53142-7583 | 2014-11-04 |
| 1427499342 | Midwest Alignment Center,llc | Chiropractor | 9916 75th St, Kenosha, WI 53142-7583 | 2013-07-08 |
| 1083959696 | Cynthia Kadziulis | Registered Nurse | 9916 75th St, Kenosha, WI 53142-7583 | 2012-12-07 |
| 1497090005 | Darby A. Parrish | Registered Nurse | 9916 75th St, Kenosha, WI 53142-7583 | 2012-12-07 |
| 1235420191 | Donna M Hassan | Registered Nurse | 9916 75th St, Kenosha, WI 53142-7583 | 2011-04-27 |
| 1487957155 | E Bruns Foot and Ankle Sc | Podiatrist | 9916 75th St, Suite 201, Kenosha, WI 53142-7583 | 2010-12-17 |
| 1760643118 | Satnam K Singh | Family Medicine | 9916 75th St, Suite 102, Kenosha, WI 53142-7583 | 2008-06-18 |
| 1447437819 | Womens Wellness | Obstetrics & Gynecology | 9916 75th St, Suite 200, Kenosha, WI 53142-7583 | 2008-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| 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 |
|---|---|---|---|---|
| 1396201455 | Pathways Counseling Services | Psychologist | 1025 56th St, Kenosha, WI 53140-3737 | 2019-02-13 |
| 1376720359 | Katherine M Flynn | Psychologist | 12225 71st St, Kenosha, WI 53142-7320 | 2008-01-22 |
| 1407294937 | David T Marx | Psychologist | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2013-06-06 |
| 1558642629 | Rebecca Bons | Psychologist | 12225 71st St, Kenosha, WI 53142-7320 | 2011-09-02 |
| 1396039632 | Danielle Defreese | Psychologist | 10400 75th St, Kenosha, WI 53142-7884 | 2011-06-03 |
| 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 |
| 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 |
| 1649747486 | Celeste Hunter | Psychologist | 2916 Marketplace Dr Ste 104, Fitchburg, WI 53719-5327 | 2018-10-30 |
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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.