Gerald M Roherty (NPI# 1700081221, PAC ID# 8729230339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
Nation Provider ID (NPI) | 1700081221 |
PAC ID by PECOS | 8729230339 |
Professional Enrollment ID | I20121205000582 |
Full Name | Gerald M Roherty |
Organization Legal Name | ANSWERS IN BEHAVIORAL AND COUNSELING PSYCHOLOGY, LLC |
Address |
1784 Barton Ave West Bend WI 53090-5472 |
Phone Number | 2623341322 |
Gender | M |
Graduation Year | 2000 |
Primary Specialty | CLINICAL PSYCHOLOGIST |
Group Practice PAC ID | 7810149424 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1784 Barton Ave, West Bend, WI 53090-5472 | 2623341322 | ANSWERS IN BEHAVIORAL AND COUNSELING PSYCHOLOGY, LLC |
1784 Barton Ave, Suite 16, West Bend, WI 53090-5472 | 2623341322 | ANSWERS IN BEHAVIORAL AND COUNSELING PSYCHOLOGY, LLC |
Organization Legal Name | ANSWERS IN BEHAVIORAL AND COUNSELING PSYCHOLOGY, LLC |
Physicians | 1 |
Street Address |
1784 BARTON AVE |
City | WEST BEND |
State | WI |
Zip | 53090-5472 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elizabeth G Johnson | Clinical Social Worker | 400 W River Dr, West Bend, WI 53090-1567 | |
Michael J Bardenwerper | Optometry | 1116 N Main St, West Bend, WI 53090-1923 | |
John Walter Rummel | Chiropractic | 628 N Main St, West Bend, WI 53090-2552 | |
Krysti K Wick | Chiropractic | 705 Village Green Way, Suite 105, West Bend, WI 53090-2571 | |
Andrea M Lange | Chiropractic | River Shores Chiropractic Sc | 705 Village Green Way, Suite 105, West Bend, WI 53090-2571 |
Kurt R Schaarschmidt | Chiropractic | Mccormack Chiropractic Sc | 519 Shepherds Dr, West Bend, WI 53090-8488 |
Regan R Mccormack | Chiropractic | Mccormack Chiropractic Sc | 519 Shepherds Dr, West Bend, WI 53090-8488 |
Michelle L Mccormack | Chiropractic | Mccormack Chiropractic Sc | 519 Shepherds Dr, West Bend, WI 53090-8488 |
City | WEST BEND |
Zip Code | 53090 |
Specialty | CLINICAL PSYCHOLOGIST |
City + Specialty | WEST BEND + CLINICAL PSYCHOLOGIST |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.