SUE C RADTKE (NPI# 1972834604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972834604 |
| Entity Type | Individual |
| Full Name | SUE C RADTKE |
| Credential | PH.D. |
| Practice Address |
4476 Bittersweet Ct Jackson WI 53037-9754 |
| Practice Telephone | 2625739568 |
| Mailing Telephone | 2625739568 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2828-057 | WI | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
071.007726 | IL | Behavioral Health & Social Service Providers |
| Street Address |
4476 BITTERSWEET CT |
| City | JACKSON |
| State | WI |
| Zip Code | 53037-9754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598377905 | Nohc Jackson Senior Living LLC | Assisted Living Facility | N16744 Eagle Drive, Jackson, WI 53037 | 2020-08-18 |
| 1467996991 | Children's Medical Group | Pediatrics | N168w22730 Prairie View Lane, Jackson, WI 53037 | 2016-12-19 |
| 1700176682 | Lincoln Healthcare, Inc | Home Health | W227n16841 Tillie Lake Court, Jackson, WI 53037 | 2011-04-13 |
| 1023211380 | Laura Jean Steinmetz | Licensed Practical Nurse | N170 W20309 Hunters Rd, Jackson, WI 53037 | 2007-06-06 |
| 1073722724 | Peter Christian Labudde | Dentist | N168 W20566 Main St, Jackson, WI 53037 | 2007-05-21 |
| 1104952597 | Judith Barbara Miller | Registered Nurse | 3114 Sherman Parc Circle, Jackson, WI 53037 | 2007-02-27 |
| 1548395684 | Joan Alice Heath | Registered Nurse | N168w21700 Main St Lot 122, Jackson, WI 53037 | 2007-02-22 |
| 1578511739 | Carol Lynn Radovich | Nurse Practitioner | W197n17054 Stonewall Dr, Jackson, WI 53037 | 2006-05-04 |
| 1699752907 | Zhaleh Barari | Optometrist | W194 N 16747 Eagle Dr., Suite N, Jackson, WI 53037 | 2005-12-28 |
| 1790399780 | Jackson Town & Country Dental LLC | Dentist | N168 W20566 Main St, Jackson, WI 53037 | 2020-09-07 |
| Find all providers in zip 53037 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792169 | Snake River Consulting LLC | Psychologist | 430 Pine Dr, Jackson, WY 83001-8417 | 2019-01-02 |
| 1043549280 | University of Mississippi Medical Center | Psychologist | 2500 N State St # H819-01, Jackson, MS 39216-4500 | 2009-12-17 |
| 1356511562 | John Patterson Thorn | Psychologist | 270 Veronica Lane, Suite C-1, Jackson, WY 83001-0000 | 2008-03-04 |
| 1013109552 | Terri Martin Revelle | Psychologist | 111 E. Jefferson St., Jackson, NC 27845 | 2007-08-17 |
| 1184830143 | Toby S Altfeld | Psychologist | 156 C West University Parkway, Jackson, TN 38305 | 2007-05-15 |
| 1497968911 | Mollie Wyatt | Psychologist | 4055 I-55 North, Suite 293, Jackson, MS 39211 | 2007-05-08 |
| 1124249719 | John David Vickery | Psychologist | 3363 Highway 45 North, Jackson, TN 38305 | 2007-05-01 |
| 1215157425 | Angela O'briant Herzog | Psychologist | Forty-five Hundred Interstate Fifty-five North, Suite 208, Jackson, MS 39211 | 2007-04-27 |
| 1295877165 | Rose Margaret Hochheiser | Psychologist | 140 King Street, Jackson, WY 83001 | 2007-02-13 |
| 1932253291 | Julia Goldensohn | Psychologist | 610 W. Broadway, Lo2g, Jackson, WY 83001 | 2007-01-23 |
| Find all providers in JACKSON | ||||
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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.