THUNDERMIST, INC. (NPI# 1003179953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003179953 |
Entity Type | Organization |
Organization Name | THUNDERMIST, INC. |
Practice Address |
2108a Silvernail Rd Suite 116 Pewaukee WI 53072-5526 |
Practice Telephone | 8884689981 |
Mailing Telephone | 8884689981 |
Enumeration Date | 2012-06-15 |
Last Update Date | 2012-06-15 |
Authorized Official Name | SEAN B JONES (CEO/PRESIDENT) |
Authorized Official Telephone | 8888984591 |
Authorized Official Credential | LLC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
Street Address |
2108A SILVERNAIL RD SUITE 116 |
City | PEWAUKEE |
State | WI |
Zip Code | 53072-5526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
1609436559 | Brianna Kelly Bates | Optometrist | 1440 Capitol Drive, Suite B, Pewaukee, WI 53072 | 2019-06-13 |
1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
1346664869 | Jane Sweney | Counselor | 325 Forest Grove Drive, Pewaukee, WI 53072 | 2014-02-05 |
1093082182 | Kristin Elizabeth Thieneman | Pharmacist | 443 Pewaukee Road, Pewaukee, WI 53072 | 2011-11-17 |
1922318393 | Ariane Machin | Psychologist | 161 W. Wisconsin Ave #2b, Pewaukee, WI 53072 | 2010-10-19 |
1083930879 | Scott Robert Borkenhagen | Student in an Organized Health Care Education/Training Program | 384 Willow Grove Dr., Unit D, Pewaukee, WI 53072 | 2010-04-19 |
1912174988 | Robert Thomas Lynch | Dentist | 234 Oakton Ave, Pewaukee, WI 53072 | 2008-05-09 |
Find all providers in zip 53072 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
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1831754167 | Asap-behavioral Health, Sc | Clinic/Center | 11380 W Theo Trekr Way, West Allis, WI 53214-1135 | 2019-05-02 |
1003375049 | Sj Counseling Services, LLC | Clinic/Center | 7726 N 80th St, Milwaukee, WI 53223-3810 | 2019-03-19 |
1295224657 | Northwest Counseling & Guidance Clinic | Clinic/Center | 123 S Van Buren, Green Bay, WI 54301-4441 | 2018-05-01 |
1801308218 | Northwest Counseling & Guidance Clinic | Clinic/Center | 915 Acacia Ln, Rhinelander, WI 54501-2806 | 2017-10-26 |
1790143667 | Northwest Counseling & Guidance Clinic | Clinic/Center | 1201 North 28th Street, Northwest Journey - Northern Lights, Superior, WI 54880-8556 | 2016-02-05 |
1417334988 | Willow Creek Ranch, Inc. | Clinic/Center | 7404 Northwest Hwy # 83, Mukwonago, WI 53149-8903 | 2015-05-04 |
1770985467 | Northwest Counseling & Guidance Clinic | Clinic/Center | 16092 Highway 63, Hayward, WI 54843-9775 | 2014-09-24 |
1700018389 | Saris Counseling LLC | Clinic/Center | 3416 Association Dr, Appleton, WI 54914 | 2009-08-17 |
1467626606 | Impact Counseling Services, LLC | Clinic/Center | 301 Ellis Ave, Suite 1, Ashland, WI 54806-1667 | 2008-04-18 |
1891976478 | Future Thoughts | Clinic/Center | 2623 N 53rd St, Milwaukee, WI 53210-2326 | 2007-11-24 |
Find all providers with the same taxonomy |
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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.