BONITA P KLEIN-TASMAN (NPI# 1821201930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821201930 |
| Entity Type | Individual |
| Full Name | BONITA P KLEIN-TASMAN |
| Credential | PH.D. |
| Practice Address |
2441 E Hartford Ave Garland 210 Milwaukee WI 53211-3160 |
| Mailing Address |
2001 E Newberry Blvd Milwaukee WI 53211-3651 |
| Practice Telephone | 4142293060 |
| Practice Fax Number | 4142295219 |
| Mailing Telephone | 4149629612 |
| Mailing Fax Number | 4142295219 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 2368-057 | WI | Behavioral Health & Social Service Providers |
| X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
2368-057 | WI | Behavioral Health & Social Service Providers |
| Street Address |
2441 E HARTFORD AVE GARLAND 210 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-3160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366815573 | Christine Larson | Psychologist | 2441 E Hartford Ave, University of Wisconsin-milwaukee, Milwaukee, WI 53211-3160 | 2015-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114449949 | Tobias D Kaemmerer | Clinical Neuropsychologist | 2901 W Kinnickinnic River Pkwy Ste 417, Milwaukee, WI 53215-3660 | 2017-07-13 |
| 1821360199 | Tiffany M Jacobsen | Clinical Neuropsychologist | 2448 S 102nd St Ste 270, Milwaukee, WI 53227-2147 | 2012-02-02 |
| 1316008303 | Thomas Fisher | Clinical Neuropsychologist | 2419 S. Lenox Street, Milwaukee, WI 53207 | 2006-12-13 |
| 1871106575 | Elisabeth Mary Vogt | Clinical Neuropsychologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-08-24 |
| 1689167694 | Erin Quasney | Clinical Neuropsychologist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-06-13 |
| 1134618903 | Kathleen H Elverman | Clinical Neuropsychologist | 2901 W Kinnickinnic River Pkwy Ste 403, Milwaukee, WI 53215-3660 | 2018-05-07 |
| 1972090462 | Sara B Pillay | Clinical Neuropsychologist | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2018-04-19 |
| 1518486794 | Joseph Lee Amaral Jr. | Clinical Neuropsychologist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2017-09-19 |
| 1760890784 | Lindsay Nelson | Clinical Neuropsychologist | 9200 W Wisconsin Ave, Dept of Neurosurgery, Milwaukee, WI 53226-3522 | 2014-07-23 |
| 1962819706 | Michelle Loman Moudry | Clinical Neuropsychologist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2014-07-14 |
| Find all providers in MILWAUKEE | ||||
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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.