PSYCHOLOGIE CLINIQUE SC (NPI# 1669676722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669676722 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGIE CLINIQUE SC |
| Practice Address |
130 E Walnut St Suite 410 Green Bay WI 54301-4239 |
| Practice Telephone | 9204374490 |
| Practice Fax Number | 9204374492 |
| Mailing Telephone | 9204374490 |
| Mailing Fax Number | 9204374492 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. VALERIE AMELIE DELAIN (PRESIDENT) |
| Authorized Official Telephone | 9204374490 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1530 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | LICENSED PSYCHOLOGIST | 1530 | 01 |
| VA | LICENSED CLINICAL PSYCHOL | 0810003479 | 01 |
| Street Address |
130 E WALNUT ST SUITE 410 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-4239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326564949 | Michelle Schoenleber | Psychologist | 130 E Walnut St, Green Bay, WI 54301-4239 | 2017-08-15 |
| 1982153318 | Sandra D Rivera | Counselor | 130 E Walnut St, Suite 706, Green Bay, WI 54301-4239 | 2016-09-27 |
| 1700334042 | Susan Olson | Counselor | 130 E Walnut St, Suite 706, Green Bay, WI 54301-4239 | 2016-09-15 |
| 1801251467 | Denise K Rightmier | Counselor | 130 E Walnut St, Green Bay, WI 54301-4239 | 2015-12-28 |
| 1558795690 | Amanda Clare Anderson | Marriage & Family Therapist | 130 E Walnut St, Green Bay, WI 54301-4239 | 2013-08-26 |
| 1790129187 | Bridget G Blean | Counselor | 130 E Walnut St, Suite 706, Green Bay, WI 54301-4239 | 2013-04-29 |
| 1285993386 | Katie Olbinski | Psychologist | 130 E Walnut St, Bellin Building, 7th Floor, Green Bay, WI 54301-4239 | 2012-05-09 |
| 1467782029 | Elaine Ann Schoeni | Social Worker | 130 E Walnut St, Green Bay, WI 54301-4239 | 2010-01-05 |
| 1467687731 | Loretta Mary Larkey | Social Worker | 130 E Walnut St, Green Bay, WI 54301-4239 | 2009-05-15 |
| 1942475827 | Jay J Fostner | Psychologist | 130 E Walnut St, #706, Green Bay, WI 54301-4239 | 2008-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043725922 | Healthy Hope Counseling LLC | Community/Behavioral Health | 916 Willard Dr Ste 136, Green Bay, WI 54304-6223 | 2017-12-13 |
| 1801283494 | Abundant Life Counseling & Renewal Center LLC | Community/Behavioral Health | 1221 Bellevue St Ste 113, Green Bay, WI 54302-2155 | 2015-04-21 |
| 1609015569 | Occupational Health Services Inc. | Community/Behavioral Health | 2688 Vissers Ct, Green Bay, WI 54313-5856 | 2009-02-16 |
| 1417107590 | New Hope Counseling Center of Wi, Inc. | Community/Behavioral Health | 3021 Holmgren Way, #203, Green Bay, WI 54304-6302 | 2008-09-24 |
| 1699948471 | Robyn Rickert & Associates, LLC | Community/Behavioral Health | 130 E Walnut St Ste 406, Green Bay, WI 54301-4231 | 2008-04-11 |
| 1093869588 | Innovative Counseling Inc | Community/Behavioral Health | 1499 6th St, Innovative Counseling Inc, Green Bay, WI 54304-2252 | 2007-01-22 |
| 1497818454 | Christian Counseling Ministries, Inc. | Community/Behavioral Health | 2150 Memorial Dr, Suite #213, Green Bay, WI 54303-6335 | 2006-12-19 |
| 1063985620 | Mamma Gese | Community/Behavioral Health | 217 N Madison St Ste 4, Green Bay, WI 54301-5103 | 2019-01-07 |
| 1598117822 | Generations Community Services | Community/Behavioral Health | 217 N Madison St, Suite 5, Green Bay, WI 54301-5103 | 2016-07-11 |
| 1871972349 | Innovative Wisconsin, LLC | Community/Behavioral Health | 445 S Madison St, Green Bay, WI 54301-4101 | 2015-05-29 |
| 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.