DR. CHRISTOPHER PAUL WIEBUSCH (NPI# 1659598746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659598746 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER PAUL WIEBUSCH |
| Credential | PH.D. |
| Practice Address |
N27w23953 Paul Rd Ste. 206 Pewaukee WI 53072-6242 |
| Practice Telephone | 2623470701 |
| Practice Fax Number | 2623470705 |
| Mailing Telephone | 2623470701 |
| Mailing Fax Number | 2623470705 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 1920 057 | WI | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1920 057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39126000 | 05 |
| Street Address |
N27W23953 PAUL RD STE. 206 |
| City | PEWAUKEE |
| State | WI |
| Zip Code | 53072-6242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750745949 | Jennifer Wolf | Behavioral Analyst | N27w23953 Paul Rd, Suite 206, Pewaukee, WI 53072-6242 | 2016-04-13 |
| 1043698897 | Susan Jennifer Nicholson | Behavioral Analyst | N27w23953 Paul Rd, Suite 206, Pewaukee, WI 53072-6242 | 2015-05-13 |
| 1639504004 | J&p Haririe Midlevel Healthcare Associates | Internal Medicine | N27w23953 Paul Rd, Ste 101, Pewaukee, WI 53072-6243 | 2013-09-04 |
| 1407073505 | Wiebusch & Nicholson Center for Autism, Inc. | Community/Behavioral Health | N27w23953 Paul Rd, Ste. 206, Pewaukee, WI 53072-6242 | 2007-04-19 |
| 1326265448 | Pediatric Neuropsychology and Treatment Associates, Sc | Clinical Neuropsychologist | N27w23953 Paul Rd, Ste. 206, Pewaukee, WI 53072-6242 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
| 1609436559 | Brianna Kelly Bates | Optometrist | 1440 Capitol Drive, Suite B, Pewaukee, WI 53072 | 2019-06-13 |
| 1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1346664869 | Jane Sweney | Counselor | 325 Forest Grove Drive, Pewaukee, WI 53072 | 2014-02-05 |
| 1093082182 | Kristin Elizabeth Thieneman | Pharmacist | 443 Pewaukee Road, Pewaukee, WI 53072 | 2011-11-17 |
| 1922318393 | Ariane Machin | Psychologist | 161 W. Wisconsin Ave #2b, Pewaukee, WI 53072 | 2010-10-19 |
| 1083930879 | Scott Robert Borkenhagen | Student in an Organized Health Care Education/Training Program | 384 Willow Grove Dr., Unit D, Pewaukee, WI 53072 | 2010-04-19 |
| 1912174988 | Robert Thomas Lynch | Dentist | 234 Oakton Ave, Pewaukee, WI 53072 | 2008-05-09 |
| Find all providers in zip 53072 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376068379 | Monica L Gremillion | Psychologist | 9000 W Wisconsin Ave # Ms 958, Milwaukee, WI 53226-4874 | 2017-08-10 |
| 1861808412 | Jeffrey Karst | Psychologist | 8701 Watertown Plank Rd., Mfrc 3018, Medical College of Wisconsin Pediatric Hem/onc/bmt, Milwaukee, WI 53226 | 2014-07-03 |
| 1265634505 | Kimberly Arlene Young | Psychologist | 3505 N 124th St, Uppr, Brookfield, WI 53005-2489 | 2007-05-31 |
| 1073683413 | Amy M Schley | Psychologist | 204 Wisconsin Ave, Waukesha, WI 53186-4927 | 2006-11-09 |
| 1740229079 | Mary Margaret Rhoades | Psychologist | 5 Odana Ct, Madison, WI 53719-1120 | 2006-06-05 |
| 1861458093 | Anton C Smets | Psychologist | 101 N Farwell St Ste 204, Eau Claire, WI 54703-3767 | 2006-04-25 |
| 1265408173 | Marianne B Burton | Psychologist | 3610 Michelle Witmer Memorial Dr., New Berlin, WI 53151 | 2006-02-28 |
| 1003398868 | Megan Kay Higinbotham | Psychologist | 430 E Division St, Fond Du Lac, WI 54935-4597 | 2018-08-29 |
| 1134645724 | Kelsie-marie Offenwanger | Psychologist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2017-08-16 |
| 1699155648 | Center for Language Acquisition and Social Skills Intervention, LLC | Psychologist | 8239 W Hillview Dr, Mequon, WI 53097-3205 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
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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.