FITNESS N MIND, LLC (NPI# 1689157612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689157612 |
| Entity Type | Organization |
| Organization Name | FITNESS N MIND, LLC |
| Practice Address |
1420 Countryside Ln Brookfield WI 53045-5458 |
| Practice Telephone | 2064732228 |
| Mailing Telephone | 2064732228 |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-11-13 |
| Authorized Official Name | DR. JENNIFER LYNE SWANSON (OWNER) |
| Authorized Official Telephone | 2064732228 |
| Authorized Official Credential | ED.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
1420 COUNTRYSIDE LN |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-5458 |
| 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 | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356897870 | Brittany Bice-urbach | Psychologist | 13800 W North Ave Ste 120, Brookfield, WI 53005-4977 | 2016-08-26 |
| 1629409248 | Joseph Caverly | Psychologist | 246 Federal Rd Ste C33, Brookfield, CT 06804-2648 | 2013-12-07 |
| 1881944791 | Claire M Topp | Psychologist | 2645 Almesbury Ave, Brookfield, WI 53045-3901 | 2012-09-18 |
| 1366741480 | Joanna Ruth Love | Psychologist | 17100 W North Ave Ste 100, Brookfield, WI 53005-4450 | 2011-03-16 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1598930810 | Michael W Shefsky | Psychologist | 220 Regency Ct, Suite L 103, Brookfield, WI 53045-6188 | 2008-04-28 |
| 1053591354 | Susan Eileen Donahoo | Psychologist | 660 Woelfel Rd, Brookfield, WI 53045-2927 | 2007-11-05 |
| 1194888438 | James J Bray | Psychologist | 16655 W Bluemound Rd, Suite 300, Brookfield, WI 53005 | 2006-12-18 |
| 1205935756 | Vicki J Harder | Psychologist | 300 Westmoor Dr, Brookfield, WI 53005-4082 | 2006-09-21 |
| 1942306683 | Victoria A Curran | Psychologist | 8633 Rockefeller Dr, Brookfield, IL 60513-1414 | 2006-09-16 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
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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.