DR. JESSICA LYNN BRUMM-LARSON (NPI# 1699089490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699089490 |
| Entity Type | Individual |
| Full Name | DR. JESSICA LYNN BRUMM-LARSON |
| Other Name | JESSICA LYNN BRUMM |
| Credential | PHD, LPC, NCSP |
| Practice Address |
4600 W Schroeder Dr Brown Deer WI 53223-1469 |
| Mailing Address |
5800 N Bayshore Dr B-230 Glendale WI 53217-4540 |
| Practice Telephone | 8007674411 |
| Practice Fax Number | 4147970804 |
| Mailing Telephone | 4149624048 |
| Mailing Fax Number | 4149624052 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 9189 | NE | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
4723-125 | WI | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 3263-57 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47037660631 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4600 W Schroeder Dr, Brown Deer, WI 532231469 | 8007674411 | 4147970804 |
| Street Address |
4600 W SCHROEDER DR |
| City | BROWN DEER |
| State | WI |
| Zip Code | 53223-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477651743 | Benjamin F Beaumont | Physician Assistant | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2006-09-20 |
| 1497365720 | Samantha Ann Broghammer | Dietitian, Registered | 4600 W Schroeder Dr, Brown Deer, WI 53223-6458 | 2020-08-02 |
| 1669952552 | Carol Harewood | Physician Assistant | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2018-08-20 |
| 1750874822 | Maisie Mae Floyd | Counselor | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2018-06-12 |
| 1730684457 | Nathan Alexander Tratnik | Counselor | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2018-03-26 |
| 1548788623 | Tiffany Sandra Sheperd | Registered Nurse | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2017-09-08 |
| 1932411584 | Aman Mahajan | Psychiatry & Neurology | 4600 W Schroeder Dr, Rogers Memorial Hospital, Brown Deer, WI 53223-1469 | 2010-07-12 |
| 1922329325 | Tatjana Barisic-dujmovic | Psychiatry & Neurology | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2010-06-20 |
| 1629395876 | Jennifer Fisher | Clinic/Center | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2010-04-28 |
| 1972731479 | Syed Qhadeer Hussaini | Psychiatry & Neurology | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2009-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742206 | Jamie Brown | Home Health Aide | 8200 W. Clovernook Street, Milwaukee, WI 53223 | 2020-08-28 |
| 1730725656 | Lekecia Ferguson | Case Manager/Care Coordinator | 7970 W Glendbrook Rd, Milwaukee, WI 53223 | 2019-11-26 |
| 1457994717 | Talitha Cumi | Specialist | 6239 West Boehlke Avenue, Tiana M. Jenkins, Mlwaukee, WI 53223 | 2019-10-18 |
| 1235627498 | Letitia Dotson | Licensed Practical Nurse | 9395 N 49th St, Apt 201, Brown Deer, WI 53223 | 2018-04-24 |
| 1588176002 | Courtney Erin Tomaszewski | Occupational Therapy Assistant | 7300 W. Dean Rd, Milwaukee, WI 53223 | 2017-10-25 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1346671302 | Atlantic Home Health Care, Inc | Home Health | 5600 West Brown Deer Road, #216, Brown Deer, WI 53223 | 2013-12-02 |
| 1720415938 | Bell Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7229-7231 W. Brentwood Ave., Milwaukee, WI 53223 | 2013-10-02 |
| 1528405701 | Ground Support Logistics LLC | Driver | 8200 W Browndeer Rd, Milwaukee, WI 53223 | 2013-05-29 |
| 1801136288 | Nicole M. Rintelman | Registered Nurse | 4600 W. Schroeder Drive, Rogers Memorial Hospital, Brown Deer, WI 53223 | 2013-02-22 |
| Find all providers in zip 53223 | ||||
| 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 |
|---|---|---|---|---|
| 1588121172 | Mark La Fave | Psychologist | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | 2019-03-01 |
| 1528462520 | Amy Kuechler | Psychologist | 4555 W Schroeder Dr, Brown Deer, WI 53223-1475 | 2014-10-20 |
| 1225242357 | William Hobart Davies | Psychologist | 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205445590 | Elizabeth Ann Mullen-houser | Psychologist | 1507 Winnebago St, La Crosse, WI 54601-4967 | 2020-07-23 |
| 1073138327 | Rachel Kahn | Psychologist | 501 Acacia Ln, Madison, WI 53716-3238 | 2020-06-12 |
| 1184248593 | Jill Mallin | Psychologist | 10 S Water St E, Fort Atkinson, WI 53538-2053 | 2020-06-01 |
| 1669095303 | Generational Cycles LLC | Psychologist | 2208 W Rohr Ave, Milwaukee, WI 53209-5057 | 2020-05-27 |
| 1518529718 | Ellen Marie Meier-licht | Psychologist | 200 N Mall Dr, Appleton, WI 54913-8500 | 2019-07-08 |
| 1396309076 | John Nathaniel Greene Jr. | Psychologist | 6100 N 42nd St, Milwaukee, WI 53209-3560 | 2019-04-27 |
| 1396201455 | Pathways Counseling Services | Psychologist | 1025 56th St, Kenosha, WI 53140-3737 | 2019-02-13 |
| 1912461385 | We All Rise Counseling Services LLC | Psychologist | 529 S Jefferson St Ste 201, Green Bay, WI 54301-4125 | 2019-01-30 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1295202976 | Pkm Clinical Solutions LLC | Psychologist | W206s7867 Pasadena Dr, Muskego, WI 53150-9532 | 2018-10-31 |
| Find all providers with the same taxonomy | ||||
| City | BROWN DEER |
| Zip Code | 53223 |
Please comment or provide details below to improve the information on DR. JESSICA LYNN BRUMM-LARSON.
| 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.