JUVARIA SHAHABUDDIN (NPI# 1801152673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801152673 |
| Entity Type | Individual |
| Full Name | JUVARIA SHAHABUDDIN |
| Credential | M.D. |
| Practice Address |
12225 71st St Kenosha WI 53142-7320 |
| Practice Telephone | 8776667223 |
| Practice Fax Number | 2629484841 |
| Mailing Telephone | 8776667223 |
| Mailing Fax Number | 2629484841 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
67758 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2160 S 1st Ave, Fahey Building-room 222, Maywood, IL 601533328 | 7082163750 | 7082166840 |
| Street Address |
12225 71ST ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-7320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376720359 | Katherine M Flynn | Psychologist | 12225 71st St, Kenosha, WI 53142-7320 | 2008-01-22 |
| 1679963706 | Jill R Lotz | Nurse Practitioner | 12225 71st St, Kenosha, WI 53142-7320 | 2015-01-27 |
| 1023354214 | Adam M Stoll | Social Worker | 12225 71st St, Kenosha, WI 53142-7320 | 2012-12-17 |
| 1912252198 | Tarra Anne Combs | Clinical Neuropsychologist | 12225 71st St, Kenosha, WI 53142 | 2012-07-13 |
| 1558642629 | Rebecca Bons | Psychologist | 12225 71st St, Kenosha, WI 53142-7320 | 2011-09-02 |
| 1912206384 | Jawad Pervez | Psychiatry & Neurology | 12225 71st St, Kenosha, WI 53142-7320 | 2011-03-24 |
| 1770812984 | Peggy A Horon | Counselor | 12225 71st St, Kenosha, WI 53142-7320 | 2009-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306917570 | Mathew Sean Mccarthy | Psychiatry & Neurology | 712 55th St, Kenosha, WI 53140-6506 | 2006-11-10 |
| 1598834574 | Ronald Rubin | Psychiatry & Neurology | 3734 7th Ave Ste 12, Kenosha, WI 53140-5525 | 2006-11-06 |
| 1801895743 | Venkata Krishna Sharma | Psychiatry & Neurology | 3535 30th Ave, Suite 201, Kenosha, WI 53144 | 2005-07-20 |
| 1912206384 | Jawad Pervez | Psychiatry & Neurology | 12225 71st St, Kenosha, WI 53142-7320 | 2011-03-24 |
| 1518103324 | Laura Sunn Md Sc | Psychiatry & Neurology | 5407 8th Ave, Kenosha, WI 53140-3715 | 2008-12-29 |
| 1528254042 | Pushparanee Babusukumar M.d.s.c. | Psychiatry & Neurology | 3535 30th Ave, Suite 201, Kenosha, WI 53144-1632 | 2007-09-18 |
| 1730246380 | Ashokkumar K Shah | Psychiatry & Neurology | 3734 7th Ave, Suite 24, Kenosha, WI 53140-5525 | 2007-01-02 |
| 1619053881 | Vk Sharma Md Sc | Psychiatry & Neurology | 3535 30th Ave, Suite 201, Kenosha, WI 53144 | 2006-10-31 |
| 1003919697 | Pushparanee Babusukumar | Psychiatry & Neurology | 3535 30th Ave, Suite 201, Kenosha, WI 53144-1632 | 2006-09-07 |
| 1588673644 | Vanessa Q Chang | Psychiatry & Neurology | 10400 75th St, #307, Kenosha, WI 53142-8323 | 2006-08-07 |
| Find all providers in KENOSHA | ||||
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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.