DR. MANDY J KUMPULA (NPI# 1639501323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639501323 |
| Entity Type | Individual |
| Full Name | DR. MANDY J KUMPULA |
| Credential | PHD |
| Practice Address |
2851 University Ave Green Bay WI 54311-5855 |
| Practice Telephone | 9204312938 |
| Mailing Telephone | 9204312938 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301015184 | MI | Behavioral Health & Social Service Providers |
| Street Address |
2851 UNIVERSITY AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-5855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275845414 | Michelle Schleis | Optometrist | 2851 University Ave, Green Bay, WI 54311-5855 | 2010-07-03 |
| 1154932739 | Brenna Rainey | Pharmacist | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-08-16 |
| 1891310827 | James Boddy | Registered Nurse | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-06-16 |
| 1013531656 | Michael Tadayuki Miyamoto | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-05-29 |
| 1184245326 | Kevin Michael Hansen | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-04-28 |
| 1346869625 | Jessica Rae Enright | Registered Nurse | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-04-16 |
| 1689201832 | Ifeanyi Jeffrey Mbah | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-03-26 |
| 1235762527 | Michael James Valerius | Registered Nurse | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-02-15 |
| 1578110490 | Lisa Ann Rienow | Nurse Practitioner | 2851 University Ave, Green Bay, WI 54311-5855 | 2019-08-26 |
| 1487209623 | Deanna R Nelson | Dietitian, Registered | 2851 University Ave, Green Bay, WI 54311-5855 | 2019-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407979206 | William David Laakso | Psychologist | 700 N Adams St, Green Bay, WI 54301-5145 | 2007-04-08 |
| 1124154612 | Todd Lee Hamilton | Psychologist | 2339 Cedar Rdg, Green Bay, WI 54313-5700 | 2007-02-26 |
| 1114071289 | Bonnie Rae Nussbaum | Psychologist | 3600 Velp Ave Ste 4-a, Green Bay, WI 54313-6503 | 2007-01-23 |
| 1801954474 | Eric John Lund | Psychologist | 1575 Allouez Ave, Green Bay, WI 54311-5639 | 2006-12-05 |
| 1407920283 | Kevin Wayne Miller | Psychologist | 2131 S Webster Ave, Suite 105, Green Bay, WI 54301-2288 | 2006-11-20 |
| 1063513125 | Gerald Joseph Wellens | Psychologist | 130 E Walnut Street, Suite 603, Green Bay, WI 54301 | 2006-09-25 |
| 1326564949 | Michelle Schoenleber | Psychologist | 130 E Walnut St, Green Bay, WI 54301-4239 | 2017-08-15 |
| 1245688993 | Andrea Labine, Ph.d LLC | Psychologist | 1039 W Mason St, 116, Green Bay, WI 54303-1842 | 2016-06-02 |
| 1558799940 | Matthew Vendlinski | Psychologist | 2851 University Ave, Green Bay, WI 54311-5855 | 2013-10-22 |
| 1508128901 | Althea L. Noukki | Psychologist | 111 N Jefferson St, Green Bay, WI 54301-5005 | 2012-06-12 |
| Find all providers in GREEN BAY | ||||
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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.