DR. ROBERT BRONSON LEVIN (NPI# 1922180736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922180736 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BRONSON LEVIN |
| Other Name | DR. BRONSON LEVIN |
| Credential | PH.D. |
| Practice Address |
16535 W Bluemound Rd # 200 Brookfield WI 53005-5936 |
| Mailing Address |
1150 S Bobolink Dr Brookfield WI 53005-7205 |
| Practice Telephone | 2625423255 |
| Practice Fax Number | 2628216180 |
| Mailing Telephone | 2627861139 |
| Mailing Fax Number | 2627851139 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 2205-057 | WI | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
1695 | MD | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
0810000987 | VA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
1188 | DC | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
2205 | WI | Behavioral Health & Social Service Providers |
| X | 103TF0200X |
Psychologist Specialization: Forensic |
1188 | DC | Behavioral Health & Social Service Providers |
| X | 103TF0200X |
Psychologist Specialization: Forensic |
2205-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LICENSE | 0810000987 | 01 |
| DC | LICENSE | 1188 | 01 |
| MD | LICENSE | 1695 | 01 |
| WI | LICENSE | 2205-057 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306240635 | Robert Levin | Pharmacist | 50 Broadmoor Ct, Novato, CA 94949-5847 | 2014-10-15 |
| 1013259662 | Robert Charles Levin | Pediatrics | 542 N Alta Vista Blvd, Los Angeles, CA 90036-1967 | 2013-03-21 |
| 1477643757 | Robert Levin | Social Worker | 263 Cumberland St Apt 4, Brooklyn, NY 11205-4692 | 2006-10-15 |
| 1992745863 | Robert Aland Levin | Pediatrics | 2815 Independnce Dr, Birmingham, AL 35209-4178 | 2006-06-07 |
| 1932186467 | Robert Levin | Internal Medicine | 2220 W Manchester Blvd, Inglewood, CA 90305-2514 | 2005-12-27 |
| 1760621536 | Robert S Levin | Counselor | 1280 Edison Ave, Bloomfield Hills, MI 48302-0026 | 2009-02-18 |
| 1427190875 | Robert Levin | Social Worker | 610 Ten Rod Rd, North Kingstown, RI 02852-4236 | 2007-02-13 |
| 1770636052 | Robert Alan Levin | Physical Medicine & Rehabilitation | 110 Irving St Nw, Washington, DC 20010-2976 | 2007-01-19 |
| 1467504258 | Robert Irwin Levin | Dentist | 18800 Delaware St, 600, Huntington Beach, CA 92648-1959 | 2007-01-18 |
| 1154485597 | Robert Michael Levin | Pediatrics | 300 Hillmont Ave, Ventura, CA 93003-1651 | 2006-12-20 |
| Street Address |
16535 W BLUEMOUND RD # 200 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-5936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205824604 | Damon William Buckett | Social Worker | 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5936 | 2005-10-10 |
| 1184076754 | Nicholas Joseph Overbaugh | Counselor | 16535 W Bluemound Rd, Brookfield, WI 53005-5936 | 2016-07-07 |
| 1902278146 | Arriann Tauer | Counselor | 16535 W Bluemound Rd, Suite 305, Brookfield, WI 53005-5936 | 2015-10-27 |
| 1376912972 | Ashley Ross | Counselor | 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5936 | 2015-09-24 |
| 1336401876 | Melissa Marie Burchardt | Dietitian, Registered | 16535 W Bluemound Rd, Suite 222, Brookfield, WI 53005-5936 | 2012-06-11 |
| 1487911202 | Diane Philippi | Counselor | 16535 W Bluemound Rd, Suite 222, Brookfield, WI 53005-5936 | 2012-04-18 |
| 1184998403 | Aaron Ezekiel Munson | Counselor | 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5936 | 2012-03-05 |
| 1639478308 | Robin R Miller | Counselor | 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5936 | 2011-03-21 |
| 1083919724 | Andrea Marie Lange | Chiropractor | 16535 W Bluemound Rd, Suite 222, Brookfield, WI 53005-5936 | 2011-01-11 |
| 1306158001 | Britt Ann Peterson | Psychologist | 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5936 | 2010-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| 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 |
|---|---|---|---|---|
| 1144561051 | Western Connecticut Behavioral Health | Clinical Neuropsychologist | 828 Federal Rd, 2nd Floor, Brookfield, CT 06804-1830 | 2013-03-04 |
| 1053953984 | Neuropsychological Services of Southeastern Wisconsin, Ltd | Clinical Neuropsychologist | 200 S Executive Dr, Brookfield, WI 53005-4216 | 2019-10-11 |
| 1902456569 | Neuropsychological Services of Southeastern Wisconsin,ltd | Clinical Neuropsychologist | 200 S Executive Dr Ste 101, Brookfield, WI 53005-4216 | 2019-09-16 |
| 1184873721 | Jessica Danielle Biren Caverly | Clinical Neuropsychologist | 2 Old New Milford Rd, 1e, Brookfield, CT 06804-2426 | 2008-09-18 |
| 1114098704 | Pamela J Mcmurray | Clinical Neuropsychologist | 200 S Executive Dr Ste 101, Brookfield, WI 53005 | 2006-11-13 |
| 1679524250 | Katherine Rogers Burrows | Clinical Neuropsychologist | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2006-05-16 |
| 1073588505 | Diana Badillo Martinez | Clinical Neuropsychologist | 60 Old New Milford Rd, Suite 3d, Brookfield, CT 06804-2430 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578023156 | Midway Clinical Neuropsychologic Institute and Children's Wellness Fou | Clinical Neuropsychologist | 1024 60th Street, Suite 5, Kenosha, WI 53140-4099 | 2019-03-21 |
| 1114449949 | Tobias D Kaemmerer | Clinical Neuropsychologist | 2901 W Kinnickinnic River Pkwy Ste 417, Milwaukee, WI 53215-3660 | 2017-07-13 |
| 1972989804 | Anne L Shandera-ochsner | Clinical Neuropsychologist | 212 11th Street, La Crosse, WI 54601 | 2015-08-03 |
| 1891054441 | Mary Christine Majors | Clinical Neuropsychologist | 625 Wildlife Dr, Fond Du Lac, WI 54937-7708 | 2012-05-16 |
| 1821360199 | Tiffany M Jacobsen | Clinical Neuropsychologist | 2448 S 102nd St Ste 270, Milwaukee, WI 53227-2147 | 2012-02-02 |
| 1861625220 | Rebecca L Torres | Clinical Neuropsychologist | 721 American Ave Ste 406, Waukesha, WI 53188-5071 | 2009-09-01 |
| 1336319979 | Shellie Dee Locke | Clinical Neuropsychologist | 9020 15th Ave, Kenosha, WI 53143-6803 | 2008-03-11 |
| 1538352935 | Robert George Owens | Clinical Neuropsychologist | 2653 Statdust Trail, Verona, WI 53593-9714 | 2007-08-20 |
| 1720278005 | Judith Davis | Clinical Neuropsychologist | 716 Roby Rd, Stoughton, WI 53589 | 2007-08-01 |
| 1821201930 | Bonita P Klein-tasman | Clinical Neuropsychologist | 2441 E Hartford Ave, Garland 210, Milwaukee, WI 53211-3160 | 2007-05-07 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
Please comment or provide details below to improve the information on DR. ROBERT BRONSON LEVIN.
| 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.