ROSEY PHOENIX (NPI# 1962593996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962593996 |
| Entity Type | Individual |
| Full Name | ROSEY PHOENIX |
| Other Name | MRS. ROSEANN M PETITT |
| Credential | MSW-ACSW |
| Practice Address |
199 Home Rd Juneau WI 53039-1401 |
| Practice Telephone | 9203863500 |
| Practice Fax Number | 9203863812 |
| Mailing Telephone | 9203863500 |
| Mailing Fax Number | 9203863812 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 697-123 | WI | Behavioral Health & Social Service Providers |
| Street Address |
199 HOME RD |
| City | JUNEAU |
| State | WI |
| Zip Code | 53039-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467477877 | Judith Ryan Kaspar | Social Worker | 199 Home Rd, Juneau, WI 53039-1401 | 2006-07-13 |
| 1710336441 | Melissa Abel | Social Worker | 199 Home Rd, Hdob Clinical Services, Juneau, WI 53039-1401 | 2016-06-03 |
| 1245616945 | Sara Bashaw | Physical Therapy Assistant | 199 Home Rd, Juneau, WI 53039 | 2015-08-04 |
| 1861813164 | Aaron Miller | Counselor | 199 Home Rd, Juneau, WI 53039-1401 | 2014-01-04 |
| 1568730547 | Dodge County Medical Facilities | Skilled Nursing Facility | 199 Home Rd, Juneau, WI 53039-1401 | 2011-12-06 |
| 1497038855 | Eunice Ann Berndt | Registered Nurse | 199 Home Rd, Dodge County Human Services, Juneau, WI 53039-1401 | 2011-09-22 |
| 1821399965 | Marsh Country Health Alliance | Durable Medical Equipment & Medical Supplies | 199 Home Rd, Juneau, WI 53039-1401 | 2010-11-05 |
| 1649571787 | Marsh Country Health Alliance | Skilled Nursing Facility | 199 Home Rd, Juneau, WI 53039-1402 | 2010-11-05 |
| 1285942037 | Kurt David Schmelz | Speech-Language Pathologist | 199 Home Rd, Juneau, WI 53039-1401 | 2010-09-15 |
| 1780998054 | Dodge County Medical Facilities | Skilled Nursing Facility | 199 Home Rd, Juneau, WI 53039-1401 | 2010-07-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487994281 | Erin Elizabeth Lueck | Physical Therapy Assistant | 198 County Rd Df, Juneau, WI 53039 | 2013-02-15 |
| 1013220375 | Doreen Kay Eicher | Occupational Therapist | 199 Home Rd., Juneau, WI 53039 | 2010-07-15 |
| 1629241153 | Kimberly Ann Kunz | Counselor | 199 County Rd Df, Juneau, WI 53039 | 2008-04-04 |
| 1508947086 | City of Juneau Emergency Medical Services | Ambulance | 128 E Cross St, Juneau, WI 53039 | 2006-10-18 |
| 1063980845 | Amanda M Reda-goglio | Nurse Practitioner | 199 County Road Df, Juneau, WI 53039 | 2018-11-09 |
| 1558897306 | Jennifer Woolridge | Occupational Therapist | 199 County Road Df, Juneau, WI 53039 | 2017-05-11 |
| 1831410521 | Beaver Dam Community Hospitals, Inc. | Family Medicine | 420 W North St, Juneau, WI 53039 | 2010-06-16 |
| 1396936407 | Dodgeland School District | Local Education Agency (LEA) | 401 S Western Ave, Juneau, WI 53039-1160 | 2007-08-05 |
| 1457306375 | Juneau Chiropractic Center | Chiropractor | 170 S Western Ave, Juneau, WI 53039-1161 | 2006-05-23 |
| 1265470132 | Kelly R Schlitt | Chiropractor | 170 S Western Ave, Juneau, WI 53039-1161 | 2006-06-03 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
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| 1184248593 | Jill Mallin | Psychologist | 10 S Water St E, Fort Atkinson, WI 53538-2053 | 2020-06-01 |
| 1669095303 | Generational Cycles LLC | Psychologist | 2208 W Rohr Ave, Milwaukee, WI 53209-5057 | 2020-05-27 |
| 1518529718 | Ellen Marie Meier-licht | Psychologist | 200 N Mall Dr, Appleton, WI 54913-8500 | 2019-07-08 |
| 1396309076 | John Nathaniel Greene Jr. | Psychologist | 6100 N 42nd St, Milwaukee, WI 53209-3560 | 2019-04-27 |
| 1396201455 | Pathways Counseling Services | Psychologist | 1025 56th St, Kenosha, WI 53140-3737 | 2019-02-13 |
| 1912461385 | We All Rise Counseling Services LLC | Psychologist | 529 S Jefferson St Ste 201, Green Bay, WI 54301-4125 | 2019-01-30 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1295202976 | Pkm Clinical Solutions LLC | Psychologist | W206s7867 Pasadena Dr, Muskego, WI 53150-9532 | 2018-10-31 |
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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.