DR. MICHELLE KATHLEEN VANDEN NOVEN


Address: 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906
Phone: 2627891191

DR. MICHELLE KATHLEEN VANDEN NOVEN (NPI# 1700097045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700097045
Entity Type Individual
Full Name DR. MICHELLE KATHLEEN VANDEN NOVEN
Credential M.D.
Practice Address 16535 W Bluemound Rd Ste 200
Brookfield
WI 53005-5906
Practice Telephone 2627891191
Practice Fax Number 2628216180
Mailing Telephone 2627891191
Mailing Fax Number 2628216180
Enumeration Date 2007-05-25
Last Update Date 2019-08-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
53024-20 WI Allopathic & Osteopathic Physicians
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
53024-20 WI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
5555 N Port Washington Rd Ste 200, Glendale, WI 532174927 2627891191

Office Location

Street Address 16535 W BLUEMOUND RD STE 200
City BROOKFIELD
State WI
Zip Code 53005-5906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477513588 Jessica Joan Suhr Social Worker 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2006-03-23
1538729850 Noelle Giannini Counselor 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2019-06-18
1770055170 Heather Mae Klemm Counselor 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2018-12-23
1194230599 Jacquelyn Bogdanov Psychologist 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2017-12-06
1114463080 Sarah Jean Mcdowell Counselor 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2017-01-16
1013398726 Nicole Szaniawski Dietitian, Registered 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2015-06-18
1922376839 David S Swoboda Counselor 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2011-12-06
1093017196 Michael J. Logan Md, Sc Clinic/Center 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2010-11-22
1760508113 Laura E Gray Counselor 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2007-03-21
1184788465 Dennis Patrick Frank Counselor 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 2006-12-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154937621 Nsk Precision Healing & Wellness Acupuncturist 17040 W. Greenfield Ave #6, Brookfield, WI 53005 2020-09-21
1033772124 Dbt Consultants LLC Social Worker 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 2019-04-15
1780142588 Ashley Wing Registered Nurse 405 Bishops Way, Apt 555, Brookfield, WI 53005 2019-03-11
1407370398 Tombolo, LLC Clinic/Center 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 2017-08-01
1720509045 Rss William Conner LLC Dentist 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 2017-06-28
1669926598 Mackenzie Rondeau Physical Therapist 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 2016-08-09
1699159319 Charles Alan Kass Dentist 12720 W. North Avenue, Brookfield, WI 53005 2015-07-13
1164804274 Mary-catherine Nimphius Counselor 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 2015-06-25
1528447034 Weighless Md, LLC Dietitian, Registered 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 2015-05-29
1366837346 Maegan Michelle Cook Dentist 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 2015-04-06
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225115645 Arlene D Kalman Psychiatry & Neurology 54 Arrowhead Rd, Brookfield, CT 06804-1532 2006-11-01
1043220619 The Child & Family Institute of Fairfield County Psychiatry & Neurology 33 Junction Rd, Brookfield, CT 06804-3457 2006-08-08
1619062536 Eric Kanter Psychiatry & Neurology 12760 W North Ave, Building A, Brookfield, WI 53005-4628 2006-10-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104384387 Center for Emotional Wellness LLC. Psychiatry & Neurology W156n8327 Pilgrim Rd Ste 301, Menomonee Fls, WI 53051-3776 2019-03-06
1295000255 Ilsa Bick Psychiatry & Neurology 1099 Highland Dr, Kohler, WI 53044-1306 2012-03-09
1215268453 Richard Carl Zimmerman Psychiatry & Neurology 1282 E. Green Lake Dr., West Bend, WI 53090-9069 2010-01-28
1184800880 William M Buzogany Psychiatry & Neurology W350 S1401 Waterville Road, Lad Lake Inc, Dousman, WI 53118 2008-01-14
1033300199 Monika Drummond Roots Psychiatry & Neurology 3140 Oxford Rd, Madison, WI 53705-2224 2007-08-05
1598974321 Marta Cristina Muller Psychiatry & Neurology 1941 N Battle Creek Rd, Oconomowoc, WI 53066-9468 2007-05-21
1164517082 Moitreyee Bandyopadhyay Reddy Psychiatry & Neurology 9000 W.wisconsin Avenue, Milwaukee, WI 53201-1997 2006-10-04
1639182868 Thomas E. Wright Psychiatry & Neurology 120 East Main Street, Cambridge, WI 53523-0548 2006-08-15
1447262183 Neil P Fullan Psychiatry & Neurology 2475 University Ave Ste A, Green Bay, WI 54302-5099 2006-08-12
1396761276 Robert Perzacki Psychiatry & Neurology 1820 Appleton Rd, Menasha, WI 54952-1110 2006-07-14
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City BROOKFIELD
Zip Code 53005

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Dataset Information

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.

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