DR. JUDITH DAVIS (NPI# 1720278005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720278005 |
Entity Type | Individual |
Full Name | DR. JUDITH DAVIS |
Credential | PSY.D. |
Practice Address |
716 Roby Rd Stoughton WI 53589 |
Mailing Address |
716 Roby Rd Stoughton WI 53589-1338 |
Practice Telephone | 6082065377 |
Mailing Telephone | 6082065377 |
Enumeration Date | 2007-08-01 |
Last Update Date | 2018-08-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 2212057 | WI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 39128800 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073834701 | Judith Davis | Case Manager/Care Coordinator | 3110 E 25th Pl Unit 2, Tulsa, OK 74114-4434 | 2010-06-16 |
1740428358 | Judith M Davis | Psychiatry & Neurology | 1450 Creekside Dr, #36, Walnut Creek, CA 94596-5558 | 2009-02-04 |
1780805705 | Judith Davis | Marriage & Family Therapist | 664 Main St., Amherst, MA 01002 | 2007-05-01 |
1760509731 | Judith Terry Davis | Psychologist | 27 Old Hickory Ln, Huntington, NY 11743-2526 | 2007-03-23 |
1528183886 | Judith P. Davis | Social Worker | 7912 Horseshoe Ln, Potomac, MD 20854-3829 | 2007-03-19 |
1679602098 | Judith Ann Davis | Home Health Aide | 26906 Schady Rd, Olmsted Falls, OH 44138-1710 | 2007-03-02 |
1023031275 | Judith A Davis | Chiropractor | 1280 W. Main St. Ste 121, Sun Prairie, WI 53590 | 2006-07-26 |
1497242507 | Judith Fanus Davis | Psychologist | 750 Imperial St, Christiansburg, VA 24073-5309 | 2018-04-16 |
1225484835 | Judith Jones Davis | Occupational Therapist | 1007 Howard St, Mocksville, NC 27028-2548 | 2016-05-12 |
1568862100 | Judith Davis | Rehabilitation Practitioner | 4285 N Rancho Dr, Las Vegas, NV 89130-3446 | 2014-09-02 |
Street Address |
716 ROBY RD |
City | STOUGHTON |
State | WI |
Zip Code | 53589 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467971507 | Linda Kay Balthazor | Registered Nurse | 900 Truman, Stoughton, WI 53589 | 2017-09-10 |
1801342464 | Lorchid Lanoway | Licensed Practical Nurse | 1817 Cedarbrook Ln, Unit 9, Stoughton, WI 53589 | 2016-09-01 |
1114203296 | Marilyn Mary Mackinnon | Pharmacist | 1705 Highway Fifty One, Stoughton, WI 53589 | 2011-11-02 |
1053693028 | Alfred Bennin | Pharmacist | 1705 Us Hwy 51/138, Stoughton, WI 53589 | 2011-09-15 |
1447531892 | Tina Ann Ferguson | Pharmacist | 1705 Us Highway 51, Stoughton, WI 53589 | 2011-08-30 |
1285926972 | Jenifer Lee Stokstad | Registered Nurse | 3496 Hwy 138, Stoughton, WI 53589 | 2011-05-12 |
1447583018 | Stephanie Marie Kind | Licensed Practical Nurse | 608 W South St, Stoughton, WI 53589 | 2009-09-14 |
1386885721 | Scott Tauferner | Physical Therapist | 2300 Us Hwy 51-138, Stoughton, WI 53589 | 2009-03-16 |
1245495480 | Roundy's Supermarkets Inc | Pharmacy | 1750 Hwy 51 W, Stoughton, WI 53589 | 2008-07-28 |
1346459609 | Susan Elizabeth Cole Allfrey | Occupational Therapist | 400 North Morris St, Skaalen Sunset Home Inc, Stoughton, WI 53589 | 2007-05-22 |
Find all providers in zip 53589 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295092641 | Lori Elizabeth Azzara | Clinical Neuropsychologist | 7 Cabot Pl, Stoughton, MA 02072-4631 | 2012-04-23 |
1659498590 | Richard Stuart Fischer | Clinical Neuropsychologist | 150 York St, Stoughton, MA 02072-1829 | 2007-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578023156 | Midway Clinical Neuropsychologic Institute and Children's Wellness Fou | Clinical Neuropsychologist | 1024 60th Street, Suite 5, Kenosha, WI 53140-4099 | 2019-03-21 |
1114449949 | Tobias D Kaemmerer | Clinical Neuropsychologist | 2901 W Kinnickinnic River Pkwy Ste 417, Milwaukee, WI 53215-3660 | 2017-07-13 |
1972989804 | Anne L Shandera-ochsner | Clinical Neuropsychologist | 212 11th Street, La Crosse, WI 54601 | 2015-08-03 |
1891054441 | Mary Christine Majors | Clinical Neuropsychologist | 625 Wildlife Dr, Fond Du Lac, WI 54937-7708 | 2012-05-16 |
1821360199 | Tiffany M Jacobsen | Clinical Neuropsychologist | 2448 S 102nd St Ste 270, Milwaukee, WI 53227-2147 | 2012-02-02 |
1861625220 | Rebecca L Torres | Clinical Neuropsychologist | 721 American Ave Ste 406, Waukesha, WI 53188-5071 | 2009-09-01 |
1336319979 | Shellie Dee Locke | Clinical Neuropsychologist | 9020 15th Ave, Kenosha, WI 53143-6803 | 2008-03-11 |
1538352935 | Robert George Owens | Clinical Neuropsychologist | 2653 Statdust Trail, Verona, WI 53593-9714 | 2007-08-20 |
1821201930 | Bonita P Klein-tasman | Clinical Neuropsychologist | 2441 E Hartford Ave, Garland 210, Milwaukee, WI 53211-3160 | 2007-05-07 |
1659598746 | Christopher Paul Wiebusch | Clinical Neuropsychologist | N27w23953 Paul Rd, Ste. 206, Pewaukee, WI 53072-6242 | 2007-04-19 |
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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.