MR. LARRY KEVIN HAMBERGER


Address: 2400 W Villard Ave, Wfhc Glendale Family Center, Milwaukee, WI 53209-4901
Phone: 4145278458

MR. LARRY KEVIN HAMBERGER (NPI# 1780635524) 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) 1780635524
Entity Type Individual
Full Name MR. LARRY KEVIN HAMBERGER
Other Name MR. L KEVIN HAMBERGER
Credential PHD
Practice Address 2400 W Villard Ave
Wfhc Glendale Family Center
Milwaukee
WI 53209-4901
Practice Telephone 4145278458
Practice Fax Number 4145278045
Mailing Telephone 4145278458
Mailing Fax Number 4145278045
Enumeration Date 2006-05-15
Last Update Date 2013-01-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
1004 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
HUMANA 002000119L 01
WI 1780635524 05

Office Location

Street Address 2400 W VILLARD AVE
WFHC GLENDALE FAMILY CENTER
City MILWAUKEE
State WI
Zip Code 53209-4901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205824786 Joseph W Gravel Jr. Family Medicine 2400 W Villard Ave, Milwaukee, WI 53209-4901 2005-10-10
1053920504 Jerry Varghese Thuthikattu John Family Medicine 2400 W Villard Ave, Milwaukee, WI 53209-4901 2020-07-29
1053929620 Alyssa Nicole Fairservice Student in an Organized Health Care Education/Training Program 2400 W Villard Ave, Milwaukee, WI 53209-4901 2020-07-20
1427676113 Wallis Olivia Edwards Student in an Organized Health Care Education/Training Program 2400 W Villard Ave, Milwaukee, WI 53209-4901 2020-07-08
1093334146 Charles Franklin Mitchell IIi Student in an Organized Health Care Education/Training Program 2400 W Villard Ave, Milwaukee, WI 53209-4901 2020-04-09
1245869452 Thomas William Kerndt Student in an Organized Health Care Education/Training Program 2400 W Villard Ave, Milwaukee, WI 53209-4901 2020-04-08
1508494121 Yelena Planic Student in an Organized Health Care Education/Training Program 2400 W Villard Ave, Milwaukee, WI 53209-4901 2020-03-30
1184276792 Thomas Allen Puffett Family Medicine 2400 W Villard Ave, Milwaukee, WI 53209-4901 2019-07-13
1093377335 Maggie Elizabeth Walsh Student in an Organized Health Care Education/Training Program 2400 W Villard Ave, Milwaukee, WI 53209-4901 2019-07-08
1093377434 Jayasakthi Palaniappan Student in an Organized Health Care Education/Training Program 2400 W Villard Ave, Milwaukee, WI 53209-4901 2019-07-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780238253 Niajcia Brookshire Counselor 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 2019-08-01
1740751015 Mary Fuller Home Health Aide 3043 N 29th St., Milwaukee, WI 53209 2018-12-16
1154869410 Jacksonscott2 Skilled Nursing Facility 4573 N. 22nd Street, Milwaukee, WI 53209 2017-02-07
1669910469 Dimera House In Home Supportive Care 4002 W Fairount Ave, Milwaukee, WI 53209 2017-02-01
1891248340 Amy L May Nurse Practitioner 3303 W Good Hope Rd, Milwaukee, WI 53209 2016-08-02
1871980193 Alan R Rosenthal Pharmacist 6930 N Beech Tree Dr, Milwaukee, WI 53209 2015-04-24
1104212380 Reema Shah Student in an Organized Health Care Education/Training Program 2400 W. Villard Ave, Milwaukee, WI 53209 2015-04-14
1336534403 Robert Michael Kitsis Family Medicine 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 2015-04-05
1962891994 Kls Community Outreach Teen Center Consulting and Management L.L.C. Public Health or Welfare 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 2015-01-14
1548659634 Kls Community Outreach Teen Center Consulting and Management L.L.C. Early Intervention Provider Agency 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 2015-01-13
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376068379 Monica L Gremillion Psychologist 9000 W Wisconsin Ave # Ms 958, Milwaukee, WI 53226-4874 2017-08-10
1861808412 Jeffrey Karst Psychologist 8701 Watertown Plank Rd., Mfrc 3018, Medical College of Wisconsin Pediatric Hem/onc/bmt, Milwaukee, WI 53226 2014-07-03
1194008250 Jenny Cvinar Walczak Psychologist 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2011-09-26
1437315280 Sheri L. Johnson Psychologist 5433 W Fond Du Lac Ave, Midtown Pediatrics, Milwaukee, WI 53216-1382 2008-07-31
1518129089 Kristin H Kroll Psychologist 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2008-06-26
1710151246 Isabela Sardas Psychologist 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 2008-04-16
1275657272 Angela C Stanley Psychologist 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2007-03-17
1134173776 Cheryl L Brosig Soto Psychologist 9000 W Wisconsin Ave, Children's Health Sys Office Bldg, Milwaukee, WI 53226-3518 2006-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265634505 Kimberly Arlene Young Psychologist 3505 N 124th St, Uppr, Brookfield, WI 53005-2489 2007-05-31
1073683413 Amy M Schley Psychologist 204 Wisconsin Ave, Waukesha, WI 53186-4927 2006-11-09
1740229079 Mary Margaret Rhoades Psychologist 5 Odana Ct, Madison, WI 53719-1120 2006-06-05
1861458093 Anton C Smets Psychologist 101 N Farwell St Ste 204, Eau Claire, WI 54703-3767 2006-04-25
1265408173 Marianne B Burton Psychologist 3610 Michelle Witmer Memorial Dr., New Berlin, WI 53151 2006-02-28
1003398868 Megan Kay Higinbotham Psychologist 430 E Division St, Fond Du Lac, WI 54935-4597 2018-08-29
1134645724 Kelsie-marie Offenwanger Psychologist 1000 N Oak Ave, Marshfield, WI 54449-5703 2017-08-16
1699155648 Center for Language Acquisition and Social Skills Intervention, LLC Psychologist 8239 W Hillview Dr, Mequon, WI 53097-3205 2015-06-04
1932501053 Christopher Waser Psychologist 1524 S Lee St, Appleton, WI 54915-3822 2014-09-19
1821338815 Susan M. Oestreicher Psychologist 444 N Westhill Blvd, Appleton, WI 54914-5715 2013-02-27
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Competitor

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City MILWAUKEE
Zip Code 53209

Improve Information

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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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