JMD, PSYCHOLOGY, LLC (NPI# 1013516905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013516905 |
Entity Type | Organization |
Organization Name | JMD, PSYCHOLOGY, LLC |
Practice Address |
14135 N Cedarburg Rd Mequon WI 53097-1416 |
Mailing Address |
2071 Upper Ridge Rd Port Washington WI 53074-9660 |
Practice Telephone | 2622613023 |
Practice Fax Number | 2623775552 |
Mailing Telephone | 2622613023 |
Enumeration Date | 2020-10-21 |
Last Update Date | 2020-10-21 |
Authorized Official Name | JOSHUA DOLAN (LICENSED PSYCHOLOGIST) |
Authorized Official Telephone | 2622613023 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
Street Address |
14135 N CEDARBURG RD |
City | MEQUON |
State | WI |
Zip Code | 53097-1416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942219589 | Heather A Byrne | Psychologist | 14135 N Cedarburg Rd, # 203, Mequon, WI 53097-1416 | 2006-08-05 |
1114539061 | Casey Mccarragher LLC | Community/Behavioral Health | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2020-08-21 |
1447884721 | Jessica Wolfe | Social Worker | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2020-02-26 |
1386278661 | Jessica Wolfe, Lcsw, LLC | Social Worker | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2020-02-26 |
1205490844 | Angela C. Stanley, Psy.d. Psychological Services LLC | Psychologist | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2019-04-29 |
1861958993 | Andrea P Janis-towey Psychological Services LLC | Clinic/Center | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2019-02-13 |
1467923474 | Brian M. Fidlin Psychological Services | Clinic/Center | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2018-12-17 |
1528539657 | Melissa L Del Rosario LLC | Clinic/Center | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2018-12-16 |
1649784638 | Brewer Counseling and Wellness | Psychologist | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2017-11-29 |
1225541170 | Wildstone Wellness, LLC | Community/Behavioral Health | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2017-11-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851512982 | Wendy S Balister | Dietitian, Registered | 13111 North Port Washington Rd, Mequon, WV 53097 | 2007-05-02 |
1902985922 | Lisa Lang | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2006-11-02 |
1003915570 | Joan T Gnadt | Internal Medicine | 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 | 2006-09-21 |
1255439097 | Susan J Riegg | Pathology | 13111 N Port Washington Road, Mequon, WI 53097 | 2006-09-20 |
1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
1548204712 | Lauretta Lyon Schears | Occupational Therapist | 13111 N. Portwashington Rd, Mequon, WI 53097 | 2006-06-16 |
1235173337 | Sarah Marie Neman | Physical Therapy Assistant | 13111 N Prot Washington Rd., Mequon, WI 53097 | 2006-06-16 |
1538103643 | Elizabeth Gral Sullivan | Speech-Language Pathologist | 13111 North Port Washington Road, Mequon, WI 53097 | 2006-06-16 |
1952808701 | Lisa Lang LLC | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2018-04-09 |
Find all providers in zip 53097 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134355308 | Cedar Creek Counseling, S.c. | Psychologist | 1035 W Glen Oaks Ln, Suite 110, Mequon, WI 53092-3392 | 2009-06-02 |
1578620761 | John R Briggs | Psychologist | 11124 N Cedarburg Rd Ste 150, Mequon, WI 53092-4362 | 2007-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629607619 | Eleanor Arlene Tidball | Psychologist | 13320 W Grange Ave, New Berlin, WI 53151-8131 | 2020-04-02 |
1134769441 | Graham Gardner Knowlton | Psychologist | Milwaukee Vamc 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-01-14 |
1477197929 | Samuel David Lustgarten | Psychologist | 1025 W Johnson St Rm 303b, Madison, WI 53706-1706 | 2019-10-28 |
1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
1770133555 | Kerrin Sendrowitz O'connor | Psychologist | 1509 S Outagamie St, Appleton, WI 54914-5580 | 2019-09-13 |
1982193546 | Samantha Jo Schwartz-oscar | Psychologist | 2809 School Rd, Greenleaf, WI 54126-9209 | 2018-05-08 |
1790202851 | Wisconsin Lutheran Child & Family Service | Psychologist | 2669 N Richards St, Milwaukee, WI 53212-2850 | 2017-08-29 |
1902337785 | Carla Mae Davey | Psychologist | 333 E Campus Mall Rm 7, University Health Services, Madison, WI 53715-1740 | 2017-03-23 |
1558739300 | Hayley Shilling | Psychologist | 6602 Grand Teton Plz Ste 100, Madison, WI 53719-2905 | 2015-09-10 |
1568850840 | Belinda Gutierrez | Psychologist | 2500 Overlook Terrace, 116b, William S. Middleton Memorial Veterans Hospital, Madison, WI 53705-2286 | 2015-01-08 |
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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.