DR. DIANE MARIE MOSNIK (NPI# 1932146172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932146172 |
| Entity Type | Individual |
| Full Name | DR. DIANE MARIE MOSNIK |
| Credential | PH.D. |
| Practice Address |
6110 N Port Washington Rd Glendale WI 53217-4308 |
| Mailing Address |
2357 E Bennett Ave Milwaukee WI 53207-2919 |
| Practice Telephone | 4149621000 |
| Practice Fax Number | 4149636866 |
| Mailing Telephone | 8324839732 |
| Mailing Fax Number | 4149636866 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2015-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 2620-057 | WI | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 31547 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | Z000K3649 | 05 |
| Street Address |
6110 N PORT WASHINGTON RD |
| City | GLENDALE |
| State | WI |
| Zip Code | 53217-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902317993 | Cheryl Ann Honeycutt | Registered Nurse | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2017-10-17 |
| 1770012056 | Strong Home Care and Companions | Home Health | 6110 N Port Washington Rd, Suite 3, Glendale, WI 53217 | 2017-06-08 |
| 1205388600 | Kate Halbach | Counselor | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2016-11-01 |
| 1013369271 | Rebecca Zimmermann | Counselor | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2016-07-11 |
| 1982000758 | Medical Psychology Associates | Psychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2014-11-06 |
| 1477871267 | Janet Helen Mcclintock | Counselor | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2010-05-04 |
| 1902093289 | The Cambridge Group | Community/Behavioral Health | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2007-10-01 |
| 1245425354 | Neurobehavioral Health Clinic | Psychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2007-09-11 |
| 1780892026 | Marty Sapp | Psychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2007-05-18 |
| 1558586016 | Clear Direction Psychological Services, Inc. | Clinic/Center | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| 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 |
|---|---|---|---|---|
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1891108031 | Charles Pilavian | Clinical Neuropsychologist | 138 N Brand Blvd Ste 300, Glendale, CA 91203 | 2014-06-05 |
| 1205034691 | Lovingly Quitania Park | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 355, Glendale, CA 91206-4159 | 2007-07-06 |
| 1932317229 | John William St. Clair | Clinical Neuropsychologist | 6222 W Caribbean Ln, Glendale, AZ 85306-5206 | 2007-05-18 |
| 1184792293 | Alicia Susana Hansen | Clinical Neuropsychologist | 524 N Maryland Ave Apt 1, Glendale, CA 91206-2266 | 2006-11-30 |
| 1457381501 | Margaret Ann Donohue | Clinical Neuropsychologist | 135 S Jackson St Ste 204, Glendale, CA 91205-4918 | 2006-07-04 |
| 1477534634 | Michael Forbes Warden | Clinical Neuropsychologist | 7155 W Campo Bello Dr Ste C120, Glendale, AZ 85308-8594 | 2005-11-07 |
| 1194330266 | Sarah Yassin | Clinical Neuropsychologist | 6677 W Thunderbird Rd Ste D148, Glendale, AZ 85306-3769 | 2020-09-15 |
| 1376922617 | Lovingly Quitania Park, Ph.d. | Clinical Neuropsychologist | 1560 E Chevy Chase Dr, Glendale, CA 91206-4197 | 2015-05-19 |
| 1184928111 | Helena Grant Huckabee | Clinical Neuropsychologist | 400 S Colorado Blvd, Ste 860, Glendale, CO 80246-1253 | 2011-01-05 |
| Find all providers in GLENDALE | ||||
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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.