DR. LAURIE DONNELL BJUSTROM


Address: 741 N Grand Ave Ste 302, Waukesha, WI 53186-4841
Phone: 2927891191

DR. LAURIE DONNELL BJUSTROM (NPI# 1902358120) 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) 1902358120
Entity Type Individual
Full Name DR. LAURIE DONNELL BJUSTROM
Credential PH.D.
Practice Address 741 N Grand Ave Ste 302
Waukesha
WI 53186-4841
Mailing Address 1144 Forseth Dr
Hartland
WI 53029-2279
Practice Telephone 2927891191
Practice Fax Number 2625420823
Mailing Telephone 4143335816
Enumeration Date 2016-11-04
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 3417-57 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 100062371 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
700 Rayovac Drive, Suite 114, Madison, WI 53711 6082280750 7152980170

Office Location

Street Address 741 N GRAND AVE STE 302
City WAUKESHA
State WI
Zip Code 53186-4841

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669480059 Jane Marie Schneider Psychologist 741 N Grand Ave Ste 302, Waukesha, WI 53186-4820 2006-08-03
1679171466 Jenna Overbaugh Counselor 741 N Grand Ave Ste 302, Waukesha, WI 53186-4841 2020-10-13
1134603616 Amy Bourdo Counselor 741 N Grand Ave Ste 302, Waukesha, WI 53186-4841 2018-09-20
1427455807 Lisa D Mclean Counselor 741 N Grand Ave Ste 302, Waukesha, WI 53186-4841 2014-12-01
1770647166 David Frederic Mannelli Psychologist 741 N Grand Ave Ste 302, Waukesha, WI 53186-4820 2006-12-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295391472 Christine Lowdon Triggs Dentist 21680 West Bluemound Rd, Waukesha, WI 53186 2019-05-14
1881182889 Allure Medical of Wisconsin Pllc Clinic/Center 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 2018-04-25
1316462104 Mary B Mckee Dietitian, Registered 22370 W Bluemound Rd, #102, Waukesha, WI 53186 2017-08-14
1740738343 Rebecca Menelle Physical Therapist 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 2016-09-13
1568919876 Dianne Isnard Physical Therapist W231n1440 Corporate Court, Waukesha, WI 53186 2016-09-02
1982065991 Brandon James Decker Nurse Practitioner 21775 Hillcrest Drive, Waukesha, WI 53186 2016-03-18
1598142937 Sophia Marie Klingbiel Social Worker 1515 Paramount Dr., Waukesha, WI 53186 2015-05-06
1326478165 Glen D Haberman Dentist 141 Wisconsin Avenue, Waukesha, WI 53186 2013-11-14
1487991014 Sara Nicole Francis Counselor 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 2013-01-16
1770862054 Alex Colque, M.d. S.c. Plastic Surgery 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 2011-08-04
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316023377 Efficiency Management Consulting Psychologist 20860 Watertown Rd, Waukesha, WI 53186-1872 2006-10-31
1922194737 Terrill Lewis Bruett Psychologist 2717 Grandview Blvd Suite 303, Waukesha, WI 53188 2006-10-05
1013929108 David Lee Smith Psychologist 407 Pilot Ct, Suite #400, Waukesha, WI 53188-2498 2006-08-13
1669480059 Jane Marie Schneider Psychologist 741 N Grand Ave Ste 302, Waukesha, WI 53186-4820 2006-08-03
1407875230 Jay Allen Psychologist 2314 N Grandview Blvd, Suites 301 and 110, Waukesha, WI 53188-1675 2006-07-19
1700811015 Mary Lynne Mack Psychologist 20700 Watertown Rd Ste 240, Waukesha, WI 53186-1800 2006-07-12
1447223045 Timothy E. Tyre Psychologist Waukesha Memorial Hospital-neuroscience Center, 725 American Avenue, Waukesha, WI 53188 2006-02-13
1710226691 Bridget Elizabeth Kanz Psychologist 514 Riverview Ave, Waukesha, WI 53188-3631 2013-02-12
1649588872 David Radovich Psychologist W231n1440 Corporate Ct Ste 310, Waukesha, WI 53186-1303 2010-09-22
1033341953 Sheila Marie Gissibl Psychologist 2607 N Grandview Blvd, Suite 108, Waukesha, WI 53188-1686 2009-08-11
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Competitor

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City WAUKESHA
Zip Code 53186

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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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