MICHAEL CARL SHORT (NPI# 1588766208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588766208 |
| Entity Type | Individual |
| Full Name | MICHAEL CARL SHORT |
| Credential | MSW,LCSW |
| Practice Address |
741 N Grand Ave Waukesha WI 53186-4820 |
| Practice Telephone | 2625423255 |
| Mailing Telephone | 2625423255 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1698-123 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1336695865 | Michael Short | Pharmacist | Memorial Medical Center Heart Failure Cinic, 340 West Miller, Springfield, IL 62781-0001 | 2016-08-25 |
| 1184046815 | Michael Thomas Short | Military Health Care Provider | 15034 Avenida Montuosa, Apt B, San Diego, CA 92129-1442 | 2014-01-15 |
| 1134354889 | Michael J Short | Specialist | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2009-05-26 |
| 1700948072 | Michael Jonathan Short | Psychiatry & Neurology | 42505 Woodward Ave., Suite 103, Bloomfield Hills, MI 48304-5147 | 2006-12-14 |
| 1659430197 | Michael H Short | Acupuncturist | 72 Langley Rd, Suite 23, Newton Center, MA 02459-1960 | 2006-12-08 |
| 1568613669 | Michael Eric Short | Physical Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2008-10-07 |
| 1386692614 | Michael Christopher Short | Family Medicine | 6300 W Parker Rd, Suite 129, Plano, TX 75093-8100 | 2006-05-05 |
| Street Address |
741 N GRAND AVE |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346223740 | Diane M Oman | Counselor | 741 N Grand Ave, Ste 210, Waukesha, WI 53186-4820 | 2005-11-21 |
| 1265841720 | Stacey Grant-savela | Social Worker | 741 N Grand Ave, Suite 302, Waukesha, WI 53186-4831 | 2014-08-10 |
| 1215274345 | Karalynn Royster | Counselor | 741 N Grand Ave, Suite 302, Waukesha, WI 53186-4831 | 2013-01-09 |
| 1720100688 | Jennifer Vanrossum | Counselor | 741 N Grand Ave, Suite 302, Waukesha, WI 53186-4820 | 2007-04-04 |
| 1881758928 | Ray Woodson Kinney | Social Worker | 741 N Grand Ave, #302, Waukesha, WI 53186-4820 | 2006-12-21 |
| 1942363155 | Carol L Kinney | Counselor | 741 N Grand Ave, Waukesha, WI 53186-4820 | 2006-12-18 |
| 1699844688 | Pamela Ann Bilodeau | Counselor | 741 N Grand Ave, Ste 302, Waukesha, WI 53186 | 2006-11-06 |
| 1124105150 | Cornerstone Counseling Services | Community/Behavioral Health | 741 N Grand Ave, Suite 302, Waukesha, WI 53186-4820 | 2006-11-01 |
| 1639259617 | Susan Schoendorf Schramka | Psychologist | 741 N Grand Ave, Waukesha, WI 53186-4820 | 2006-10-16 |
| 1205916194 | Gerald L Mcnulty | Counselor | 741 N Grand Ave, Suite 302, Waukesha, WI 53186-4820 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771944 | Lisa M Schneider | Counselor | 1022 River Place Blvd Unit 4, Waukesha, WI 53189-7890 | 2020-08-18 |
| 1407384969 | Angela Kau | Counselor | 2607 N Grandview Blvd Ste Suite108, Waukesha, WI 53188-1686 | 2017-05-30 |
| 1891037776 | Lindsay Marie Allard | Counselor | S26w26840 Mac Arthur Rd, Waukesha, WI 53188-5431 | 2013-03-19 |
| 1235251083 | Nancy Louise Raboin | Counselor | 414 W Moreland Blvd Ste 205, Waukesha, WI 53188-2441 | 2007-04-04 |
| 1598899890 | Joyce Lynn | Counselor | 2717 N. Grandview Blvd., Suite 201, Waukesha, WI 53188 | 2007-03-16 |
| 1760580328 | Laura Lynn Pulsifer | Counselor | 101 W. Broadway 2nd Floor, Waukesha, WI 53186 | 2006-09-20 |
| 1801818950 | Women & Families' Psychotherapy Resources, Inc | Counselor | 707 W. Moreland Blvd., Suite 5, Waukesha, WI 53188 | 2006-07-24 |
| 1760408876 | Horizon Healthcare, Inc | Counselor | 217 Wisconsin Ave, Suite 211, Waukesha, WI 53186-4946 | 2006-07-14 |
| 1568404671 | Family Service Agency of Waukesha County, Inc. | Counselor | 101 W Broadway, 2nd Floor, Waukesha, WI 53186 | 2006-06-12 |
| 1346223740 | Diane M Oman | Counselor | 741 N Grand Ave, Ste 210, Waukesha, WI 53186-4820 | 2005-11-21 |
| Find all providers in WAUKESHA | ||||
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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.