DR. DAVID FREDERIC MANNELLI (NPI# 1770647166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770647166 |
| Entity Type | Individual |
| Full Name | DR. DAVID FREDERIC MANNELLI |
| Credential | PSY.D. |
| Practice Address |
741 N Grand Ave Ste 302 Waukesha WI 53186-4820 |
| Mailing Address |
223 Pecks Ct Walworth WI 53184-9664 |
| Practice Telephone | 2625423255 |
| Practice Fax Number | 2625420823 |
| Mailing Telephone | 4147020080 |
| Mailing Fax Number | 2625420823 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2280-057 | WI | Behavioral Health & Social Service Providers |
| Street Address |
741 N GRAND AVE STE 302 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669480059 | Jane Marie Schneider | Psychologist | 741 N Grand Ave Ste 302, Waukesha, WI 53186-4820 | 2006-08-03 |
| 1679171466 | Jenna Overbaugh | Counselor | 741 N Grand Ave Ste 302, Waukesha, WI 53186-4841 | 2020-10-13 |
| 1134603616 | Amy Bourdo | Counselor | 741 N Grand Ave Ste 302, Waukesha, WI 53186-4841 | 2018-09-20 |
| 1902358120 | Laurie Donnell Bjustrom | Psychologist | 741 N Grand Ave Ste 302, Waukesha, WI 53186-4841 | 2016-11-04 |
| 1427455807 | Lisa D Mclean | Counselor | 741 N Grand Ave Ste 302, Waukesha, WI 53186-4841 | 2014-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821199944 | Mary Virginia Hess | Psychologist | 1570 E Moreland Blvd, Waukesha, WI 53186-3913 | 2006-09-25 |
| 1578572335 | Amy Catherine Gurka | Psychologist | 500 Riverview Ave, Waukesha, WI 53188-3632 | 2006-08-07 |
| 1144210501 | Ilana Hadar | Psychologist | 20700 Watertown Rd, Ste 206, Waukesha, WI 53186-1800 | 2005-10-26 |
| 1134754146 | Jane M Schneider Phd | Psychologist | 2717 N Grandview Blvd, Waukesha, WI 53188-1672 | 2020-03-10 |
| 1891163234 | Jessica Juneau | Psychologist | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2015-09-02 |
| 1699185397 | Katherine Anne Frost | Psychologist | 721 American Ave, Suite 501, Waukesha, WI 53188-5071 | 2014-05-02 |
| 1376970657 | Hope for A Better Tomorrow | Psychologist | 2607 N Grandview Blvd, Suite 110, Waukesha, WI 53188-1686 | 2013-10-02 |
| 1639415078 | Mary Lynne Mack Phd LLC | Psychologist | 20700 Watertown Rd Ste 240, Waukesha, WI 53186-1800 | 2012-12-12 |
| 1720311467 | Aaron John Grace | Psychologist | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 | 2009-09-14 |
| 1629214440 | Scott J. Woodley | Psychologist | 2717 N Grandview Blvd, Suite 303, Waukesha, WI 53188-1672 | 2008-12-29 |
| Find all providers in WAUKESHA | ||||
Please comment or provide details below to improve the information on DR. DAVID FREDERIC MANNELLI.
| 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.