DR. ROBERT MICHAEL DRIES (NPI# 1639112931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639112931 |
Entity Type | Individual |
Full Name | DR. ROBERT MICHAEL DRIES |
Credential | PHD |
Practice Address |
8112 W Bluemound Rd Ste 106 Wauwatosa WI 53213-3356 |
Practice Telephone | 4142586813 |
Practice Fax Number | 4144311071 |
Mailing Telephone | 4142586813 |
Mailing Fax Number | 4144311071 |
Enumeration Date | 2006-06-14 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
0593 | WI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 39053100 | 05 |
Street Address |
8112 W BLUEMOUND RD STE 106 |
City | WAUWATOSA |
State | WI |
Zip Code | 53213-3356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396221289 | Rebecca Marchan | Occupational Therapist | 8112 W Bluemound Rd, Wauwatosa, WI 53213-3356 | 2018-07-14 |
1831557750 | Rachel Lee Stark | Occupational Therapy Assistant | 8112 W Bluemound Rd, Wauwatosa, WI 53213-3356 | 2016-02-05 |
1720334022 | Rachel Bullis | Occupational Therapist | 8112 W Bluemound Rd, Suite 100, Wauwatosa, WI 53213-3356 | 2012-07-24 |
1730408337 | Charles Trimberger & Associates, Inc. | Community/Behavioral Health | 8112 W Bluemound Rd, Suite106, Wauwatosa, WI 53213-3356 | 2010-05-20 |
1306095823 | Family Counseling Center, LLC | Community/Behavioral Health | 8112 W Bluemound Rd, Suite 106, Wauwatosa, WI 53213-3356 | 2008-09-09 |
1720148471 | Mary Ziemer Nervig | Social Worker | 8112 W Bluemound Rd, Wauwatosa, WI 53213-3356 | 2006-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
Find all providers in zip 53213 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447463740 | Wendy J. Freitag | Psychologist | 1200 N Mayfair Rd, Suite 390, Wauwatosa, WI 53226-3283 | 2007-05-07 |
1124193065 | Pediatric Psychology Associates LLC | Psychologist | 3636 N 124th St, 3rd Floor, Wauwatosa, WI 53222-2125 | 2006-11-22 |
1124087051 | Mary Ann Benavides | Psychologist | 7425 Maple Terrace, Wauwatosa, WI 53213-3154 | 2006-03-20 |
1881694701 | Richard August Hohfeler | Psychologist | 10045 W Lisbon Ave, Suite 200, Wauwatosa, WI 53222-2446 | 2005-07-21 |
1104357904 | Kathleen L Rivero | Psychologist | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2017-03-23 |
1801243175 | Katherine Elizabeth Reiter | Psychologist | 8701 W Watertown Plank Rd, Wauwatosa, WI 53226-3548 | 2016-05-17 |
1861622524 | Karyn Lynne Gust-brey | Psychologist | 2380 N 124th St, Suite 101, Wauwatosa, WI 53226-1071 | 2009-07-15 |
1457511834 | Lees Psychological Services, Inc. | Psychologist | 601 N 99th St, Suite 307, Wauwatosa, WI 53226-4339 | 2008-06-10 |
1427243369 | Tracy Renee Pritzl | Psychologist | 3636 N 124th St, Suite 200, Wauwatosa, WI 53222 | 2007-09-13 |
1790805885 | Pamela S Prestby | Psychologist | 2600 N Mayfair Rd Ste 650, Wauwatosa, WI 53226-1322 | 2007-03-30 |
Find all providers in WAUWATOSA |
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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.