CAMBRIDGE COUNSELING CLINIC INC (NPI# 1841374691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841374691 |
Entity Type | Organization |
Organization Name | CAMBRIDGE COUNSELING CLINIC INC |
Practice Address |
120 East Main St Cambridge WI 53523-0548 |
Mailing Address |
Po Box 548 Cambridge WI 53523-0548 |
Practice Telephone | 6084234700 |
Practice Fax Number | 6084237751 |
Mailing Telephone | 6084234700 |
Mailing Fax Number | 6084237751 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2009-11-04 |
Authorized Official Name | MS. DEBORAH C SULLIVAN (CLINIC DIRECTOR) |
Authorized Official Telephone | 6084234700 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1122 | WI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 42142900 | 05 |
Street Address |
120 EAST MAIN ST |
City | CAMBRIDGE |
State | WI |
Zip Code | 53523-0548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104012285 | Katherine Anne Miles | Social Worker | 120 East Main St, Cambridge, WI 53523 | 2007-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083242440 | Lisa C Sperle | Registered Nurse | 228 A Main Street, Cambridge, WI 53523 | 2020-03-31 |
1144503715 | Jaime Lyn Klebig | Dentist | N4220 Woodcrest Ln., Cambridge, WI 53523 | 2011-09-21 |
1548556293 | Colleen A. Mitchell | Psychologist | 704 Katie Court, Cambridge, WI 53523 | 2011-06-21 |
1871745026 | Kathleen T. Mcginnity | Behavioral Analyst | 310 E. North St., Cambridge, WI 53523 | 2008-10-21 |
1306000435 | Bruce Ray Pett | Dentist | 113 Spring St, Cambridge, WI 53523 | 2008-07-17 |
1902851454 | Cambridge Area Ems | Ambulance | 205 W Main, Cambridge, WI 53523 | 2006-05-23 |
1114984580 | Diane E Campton | Registered Nurse | 1608 Hillside Road, Cambridge, WI 53523 | 2006-04-28 |
1639620040 | Nicholas Stephen Lapidakis-schrader | Specialist/Technologist | 209 East Main Street, Cambridge, WI 53523 | 2016-10-20 |
1780733071 | Clara Josephine Acker Bonney | Licensed Practical Nurse | 1608 Hillside Road, Cambridge, WI 53523 | 2007-01-09 |
1801966734 | Kevin O Browne | Social Worker | 120 East Main Street, Cambridge, WI 53523 | 2006-11-08 |
Find all providers in zip 53523 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1316587439 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 1635 W National Ave, Milwaukee, WI 53204-1130 | 2020-01-07 |
1386283034 | Mainstreet Counseling | Clinic/Center | 1717 11th St, Monroe, WI 53566-1839 | 2019-12-29 |
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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.