DR. AARON JOHN GRACE (NPI# 1720311467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720311467 |
| Entity Type | Individual |
| Full Name | DR. AARON JOHN GRACE |
| Credential | PSY.D. |
| Practice Address |
210 Nw Barstow St Suite 201 Waukesha WI 53188-3771 |
| Practice Telephone | 2625486903 |
| Practice Fax Number | 2625483820 |
| Mailing Telephone | 2625486903 |
| Mailing Fax Number | 2625483820 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2012-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
3049-57 | WI | Behavioral Health & Social Service Providers |
| Y | 103TH0004X |
Psychologist Specialization: Health |
3049-57 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1720311467 | 05 |
| Street Address |
210 NW BARSTOW ST SUITE 201 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-3771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669457214 | Eduardo Scholcoff | Family Medicine | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 | 2005-12-07 |
| 1760002703 | Erin Maureen Glembocki | Student in an Organized Health Care Education/Training Program | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2020-04-20 |
| 1538789763 | Samantha Pawela | Student in an Organized Health Care Education/Training Program | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2020-04-17 |
| 1588284707 | Hannah E Ingvalson | Student in an Organized Health Care Education/Training Program | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2020-04-17 |
| 1154941334 | Alexis Rose Baker | Student in an Organized Health Care Education/Training Program | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2020-04-17 |
| 1780204933 | Daniel John Lunetta | Student in an Organized Health Care Education/Training Program | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2020-04-17 |
| 1902339591 | Kelsey Bierdeman | Family Medicine | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 | 2017-04-10 |
| 1407210255 | Tyler Erwin Narloch | Family Medicine | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 | 2016-04-07 |
| 1386007284 | Jennifer Leigh Zeman | Family Medicine | 210 Nw Barstow St, Waukesha, WI 53188-3771 | 2016-03-30 |
| 1265894539 | Laurie Beth Potratz | Family Medicine | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188 | 2016-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 103TH0004X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health |
| The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care. |
| Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482118 | Michelle Parisa Toigo | Psychologist | 600 Highland Ave, Madison, WI 53792-0001 | 2020-06-19 |
| 1740739481 | Elizabeth Collison | Psychologist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2016-09-22 |
| 1932419413 | Mind Body Soulutions | Psychologist | 12802 W Hampton Ave, Butler, WI 53007-1606 | 2010-10-18 |
| 1205084118 | Mind Body Program LLC | Psychologist | 15300 Watertown Plank Rd Ste 106, Elm Grove, WI 53122-2348 | 2008-09-04 |
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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.