ACADEMIC & FAMILY SERVICES, LLC


Address: 9120 W Hampton Ave, Suite 119, Milwaukee, WI 53225-4960
Phone: 2627837778

ACADEMIC & FAMILY SERVICES, LLC (NPI# 1841490364) 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) 1841490364
Entity Type Organization
Organization Name ACADEMIC & FAMILY SERVICES, LLC
Practice Address 9120 W Hampton Ave
Suite 119
Milwaukee
WI 53225-4960
Practice Telephone 2627837778
Practice Fax Number 4144649510
Mailing Telephone 2627837778
Mailing Fax Number 4144649510
Enumeration Date 2007-07-23
Last Update Date 2007-07-23
Authorized Official Name DR. ELLEN G. STERN (OWNER)
Authorized Official Telephone 2627837778
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
745-057 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39015500 05

Office Location

Street Address 9120 W HAMPTON AVE
SUITE 119
City MILWAUKEE
State WI
Zip Code 53225-4960

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982762670 Dale Anthony Bespalec Psychologist 9120 W Hampton Ave, Suite 212, Milwaukee, WI 53225-4960 2006-12-05
1144421579 Robert Randolph Rice Psychologist 9120 W Hampton Ave, Suite 212, Milwaukee, WI 53225 2007-05-31
1144438672 Susan Dvorak Psychologist 9120 W Hampton Ave, Suite 90, Milwaukee, WI 53225-4960 2007-05-18
1902011257 Wisconsin School of Professional Psychology Clinical Neuropsychologist 9120 W Hampton Ave, Suite 90, Milwaukee, WI 53225-4960 2007-05-11
1124244363 Ellen G. Stern Psychologist 9120 W Hampton Ave, Suite 119, Milwaukee, WI 53225-4960 2007-04-17
1386860617 Kristin Ann Juergens Psychologist 9120 W Hampton Ave, Suite 212, Milwaukee, WI 53225-4960 2007-04-17
1215151386 Kathleen Mary Rusch Psychologist 9120 W Hampton Ave, # 212, Milwaukee, WI 53225-4960 2007-04-12

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1265900922 Jamal Rashad Cunningham Psychologist 1845 N Farwell Ave Ste 303b, Milwaukee, WI 53202-1715 2018-11-10
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1598231102 Therese Borges Psychologist 3127 S Brisbane Ave, Milwaukee, WI 53207-2605 2018-10-22
1346720760 Kelly Schuder Psychologist 5000 W National Ave # B1113c, Milwaukee, WI 53295-0001 2018-08-15
1255831954 Hether Renee Cook Psychologist 5000 W National Ave Dept 3c, Milwaukee, WI 53295-0001 2018-02-19
1053811331 New Insights LLC Psychologist 1845 N Farwell Ave Ste 104, Milwaukee, WI 53202-1715 2018-02-13
1134575236 Latoya K Williams Psychologist 9235 W Capitol Dr Unit 402, Milwaukee, WI 53222-1567 2016-05-06
1306217492 Paul Florsheim Psychologist 4105 N Farwell Ave, Milwaukee, WI 53211-1754 2015-10-14
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Competitor

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City MILWAUKEE
Zip Code 53225

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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