DR. KIM MARIE GORECKI (NPI# 1649361775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649361775 |
| Entity Type | Individual |
| Full Name | DR. KIM MARIE GORECKI |
| Other Name | DR. KIM MARIE ANDERSON |
| Credential | PSYD |
| Practice Address |
19275 W Capitol Dr Ste 200 Brookfield WI 53045-2734 |
| Practice Telephone | 2625467478 |
| Practice Fax Number | 2623730362 |
| Mailing Telephone | 2625467478 |
| Mailing Fax Number | 2623730362 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2810-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | LP | 2810-057 | 01 |
| Street Address |
19275 W CAPITOL DR STE 200 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083170732 | Gorecki Psychological Services LLC | Clinic/Center | 19275 W Capitol Dr Ste 200, Brookfield, WI 53045-2734 | 2019-02-19 |
| 1073907622 | Trueblood Psychological Services, LLC | Psychologist | 19275 W Capitol Dr Ste 200, Brookfield, WI 53045-2734 | 2015-03-22 |
| 1447456603 | Sonya S Trueblood | Psychologist | 19275 W Capitol Dr Ste 200, Brookfield, WI 53045-2734 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942660600 | Allison Sidel | Psychologist | 304 Federal Rd Ste 301, Brookfield, CT 06804-2423 | 2016-02-24 |
| 1568784114 | Rebecca Lynn Thompson | Psychologist | 150 N Sunny Slope Rd, Suite #100, Brookfield, WI 53005-4806 | 2010-02-24 |
| 1861602609 | Douglas Eugene Scarth | Psychologist | 2 Old New Milford Rd Ste 1e, Brookfield, CT 06804-2426 | 2007-05-23 |
| 1932255833 | Henry Barron | Psychologist | 2224 Twin Pond Rd, Brookfield, VT 05036-9540 | 2007-01-25 |
| 1669537015 | Lynne Berendsen | Psychologist | 13035 W Bluemound Rd, Suite 100, Brookfield, WI 53005-8001 | 2006-12-26 |
| 1356401475 | Howard Joel Haven | Psychologist | 12690 W North Avenue, Elmbrook Family Counseling Center, Brookfield, WI 53005 | 2006-12-11 |
| 1922172634 | Judy A Eager | Psychologist | 13965 W Burleigh Rd, Suite 203, Brookfield, WI 53005-3064 | 2006-11-17 |
| 1427002211 | Eric D Seybold | Psychologist | 12690 W North Ave, Brookfield, WI 53005-4636 | 2006-05-19 |
| 1194230599 | Jacquelyn Bogdanov | Psychologist | 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 | 2017-12-06 |
| 1902344765 | Debra Hultquist | Psychologist | 150 N Sunny Slope Rd Ste 100, Brookfield, WI 53005 | 2017-02-01 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
Please comment or provide details below to improve the information on DR. KIM MARIE GORECKI.
| 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.