SHELLEY RIUTTA


Address: 2640 W Point Rd, Green Bay, WI 54304-1344
Phone: 9208692711

SHELLEY RIUTTA (NPI# 1770573008) 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) 1770573008
Entity Type Individual
Full Name SHELLEY RIUTTA
Credential MSE
Practice Address 2640 W Point Rd
Green Bay
WI 54304-1344
Mailing Address Po Box 365
Oneida
WI 54155-0365
Practice Telephone 9208692711
Mailing Telephone 9208692711
Enumeration Date 2005-10-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 27361 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39727200 05

Office Location

Street Address 2640 W POINT RD
City GREEN BAY
State WI
Zip Code 54304-1344

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205825130 Oneida Tribe of Indians of Wisconsin Clinic/Center 2640 W Point Rd, Green Bay, WI 54304-1344 2005-10-13
1639735582 Belinda L Mclester Health Educator 2640 W Point Rd, Green Bay, WI 54304-1344 2019-05-16
1750803920 Emma Corrine White Counselor 2640 W Point Rd, Green Bay, WI 54304-1344 2017-07-10
1376918136 Jessica Degroot Counselor 2640 W Point Rd, Green Bay, WI 54304-1344 2015-12-04
1306231683 Susan Exworthy Counselor 2640 W Point Rd, Green Bay, WI 54304-1344 2015-04-02
1790182921 Christina Courtney Social Worker 2640 W Point Rd, Green Bay, WI 54304-1344 2014-12-03
1801217708 Heidi Blanks Counselor 2640 W Point Rd, Green Bay, WI 54304-1344 2013-12-18
1083906580 Rebecca M Krueger Counselor 2640 W Point Rd, Oneida Behavioral Health, Green Bay, WI 54304 2011-05-03
1609167816 Martha Brito Counselor 2640 W Point Rd, Green Bay, WI 54304-1344 2011-04-21
1326377359 Mary Beth King Counselor 2640 W Point Rd, Green Bay, WI 54304-1344 2009-12-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689196255 Kristen Ashley Haltom Registered Nurse 2979 Allied St Suite C, Green Bay, WI 54304 2017-07-14
1649671421 Heather Marie Novak Counselor 2979 Allied St Unit C, Green Bay, WI 54304 2014-09-11
1356777684 Nathan Weir Specialist/Technologist 1265 Lombardi Avenue, Green Bay, WI 54304 2013-09-18
1922349927 John W Hartman Internal Medicine 916 Willard Dr, Suite 200, Green Bay, WI 54304 2013-03-15
1447551379 Citralina M Haruo Community Health Worker 1110 11th Avenue, Green Bay, WI 54304 2010-11-09
1497061352 Daniel James Gustin Pharmacist 1109 Lombardi Ave, Green Bay, WI 54304 2010-08-28
1316259898 Karen A Detrick Occupational Therapy Assistant 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 2010-07-13
1861667362 Planned Parenthood of Wi, Inc Non-Pharmacy Dispensing Site 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 2008-04-25
1891967303 Kimberley M Welk Marriage & Family Therapist 926 Willard Dr Ste 136, Green Bay, WI 54304 2008-03-25
1750563698 Richard Lawrence Beyer Hearing Instrument Specialist 2154 S Ridge Rd, Green Bay, WI 54304 2007-12-03
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912461385 We All Rise Counseling Services LLC Psychologist 529 S Jefferson St Ste 201, Green Bay, WI 54301-4125 2019-01-30
1457996910 Jesse Frederick Peterson Psychologist 301 E Saint Joseph St, Green Bay, WI 54301-2241 2019-11-08
1417359324 Harbor Health and Wellness LLC Psychologist 2701 Larsen Rd Ste 216, Green Bay, WI 54303-4863 2014-09-23
1992086748 Sarah Elisabeth Baumgartner Psychologist 301 E Saint Joseph St, Green Bay, WI 54301-2241 2011-09-07
1942475827 Jay J Fostner Psychologist 130 E Walnut St, #706, Green Bay, WI 54301-4239 2008-04-23
1831229376 Tara L Robertson Psychologist 301 E Saint Joseph St, Green Bay, WI 54301-2241 2007-03-06
1871693739 Denver L Johnson Psychologist 2900 Saint Anthony Dr, Green Bay, WI 54311-5859 2006-09-22
1023032745 Irma Catherine Smet Psychologist 1821 S Webster Ave, Green Bay, WI 54301-2253 2006-07-26
1417972373 Sarka Evans Psychologist 760 Pilgrim Way, Green Bay, WI 54304-5263 2006-07-13
1396770434 Bruce J. Robertson Psychologist 2631 Packerland Dr, Suite 104-c, Green Bay, WI 54313-4130 2006-07-11
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Competitor

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City GREEN BAY
Zip Code 54304

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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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