MARY M PAPANDRIA (NPI# 1639239544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639239544 |
| Entity Type | Individual |
| Full Name | MARY M PAPANDRIA |
| Credential | PHD HSPP |
| Practice Address |
4131 W Loomis Rd Suite 300 Greenfield WI 53221-2057 |
| Practice Telephone | 4143257246 |
| Practice Fax Number | 4143253770 |
| Mailing Telephone | 4143257246 |
| Mailing Fax Number | 4143253770 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2017-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
3331-57 | WI | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
20040919A | IN | Behavioral Health & Social Service Providers |
| Street Address |
4131 W LOOMIS RD SUITE 300 |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53221-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412799 | Heidi R Hochhausen | Nurse Practitioner | 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221-2057 | 2005-07-22 |
| 1295354553 | Jeffrey Lee Bowen | Physical Therapy Assistant | 4131 W Loomis Rd, Greenfield, WI 53221-2057 | 2020-04-15 |
| 1053948075 | Marsela Mitre | Physical Therapy Assistant | 4131 W Loomis Rd, Greenfield, WI 53221-2057 | 2020-03-27 |
| 1326594474 | Sarah Arvelo | Nurse Practitioner | 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221-2057 | 2016-08-29 |
| 1750738498 | Tanya Leigh Bonson | Nurse Practitioner | 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221-2057 | 2016-05-23 |
| 1760837710 | Min Kim | Physical Therapist | 4131 W Loomis Rd, Suit 200, Greenfield, WI 53221-2057 | 2016-04-27 |
| 1508223868 | Lauren Talatzko | Physician Assistant | 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221-2057 | 2016-01-18 |
| 1437523669 | Lindsay Vanselow | Registered Nurse | 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221-2057 | 2015-11-27 |
| 1790158186 | Suby Aby Panichikudiyil | Nurse Practitioner | 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221-2057 | 2015-11-06 |
| 1366824393 | Antoinette Spector | Physical Therapist | 4131 W Loomis Rd, Suite 200, Greenfield, WI 53221-2057 | 2015-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791058 | Trina Willetta Cox | Psychologist | 7816 W Bender Ave Apt 1, Milwaukee, WI 53218-1127 | 2020-02-12 |
| 1477612836 | Stephen Paul Dalcerro | Psychologist | 409 Cty Rd R, Black River Falls, WI 54615 | 2006-12-08 |
| 1598862633 | Cynthia L Solliday | Psychologist | 12802 W Hampton Ave, Butler, WI 53007-1606 | 2006-09-20 |
| 1912069626 | John Clemens Laney | Psychologist | 12 W Marshall St, Suite 100, Rice Lake, WI 54868-2741 | 2006-12-16 |
| City | GREENFIELD |
| Zip Code | 53221 |
Please comment or provide details below to improve the information on MARY M PAPANDRIA.
| 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.