MR. ROGER PATRICK NORTHWAY


Address: 13105 W Bluemound Rd, Suite 100, Brookfield, WI 53005-8046
Phone: 2626419790

MR. ROGER PATRICK NORTHWAY (NPI# 1053449173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053449173
Entity Type Individual
Full Name MR. ROGER PATRICK NORTHWAY
Credential MS LCSW
Practice Address 13105 W Bluemound Rd
Suite 100
Brookfield
WI 53005-8046
Practice Telephone 2626419790
Practice Fax Number 2626419791
Mailing Telephone 2626419790
Mailing Fax Number 2626419791
Enumeration Date 2007-03-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YP2500X Counselor
Specialization: Professional
477125 WI Behavioral Health & Social Service Providers
X 1041C0700X Social Worker
Specialization: Clinical
2661123 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39197200 05

Office Location

Street Address 13105 W BLUEMOUND RD
SUITE 100
City BROOKFIELD
State WI
Zip Code 53005-8046

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447251251 James R. Lloyd Specialist 13105 W Bluemound Rd, Suite 150, Brookfield, WI 53005-8022 2005-08-02
1275076341 Beth J Remitz I Community/Behavioral Health 13105 W Bluemound Rd, Suite 100, Brookfield, WI 53005-8022 2016-11-22
1801192893 David John Bedrin Social Worker 13105 W Bluemound Rd, Suite 100, Brookfield, WI 53005-8022 2011-02-08
1902061989 Brandie Leigh Tetzlaff Social Worker 13105 W Bluemound Rd, Suite 100, Brookfield, WI 53005-8022 2008-07-19
1942490438 Pathways Counseling Center II Community/Behavioral Health 13105 W Bluemound Rd, Suite 100, Brookfield, WI 53005-8046 2007-07-31
1023144045 Associates of Neurological Surgery, S.c. Neurological Surgery 13105 W Bluemound Rd, Suite 150, Brookfield, WI 53005-8022 2007-02-26
1891836854 Lynn Marie Dusold Social Worker 13105 W Bluemound Rd, Suite 100, Brookfield, WI 53005-8022 2007-02-10
1366540163 Faye Marie Abler Social Worker 13105 W Bluemound Rd, #100, Brookfield, WI 53005-8046 2006-09-20
1982702783 Gretchen M Fincke Social Worker 13105 W Bluemound Rd, #100, Brookfield, WI 53005-8046 2006-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1780142588 Ashley Wing Registered Nurse 405 Bishops Way, Apt 555, Brookfield, WI 53005 2019-03-11
1407370398 Tombolo, LLC Clinic/Center 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 2017-08-01
1720509045 Rss William Conner LLC Dentist 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 2017-06-28
1669926598 Mackenzie Rondeau Physical Therapist 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 2016-08-09
1699159319 Charles Alan Kass Dentist 12720 W. North Avenue, Brookfield, WI 53005 2015-07-13
1164804274 Mary-catherine Nimphius Counselor 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 2015-06-25
1528447034 Weighless Md, LLC Dietitian, Registered 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 2015-05-29
1366837346 Maegan Michelle Cook Dentist 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 2015-04-06
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386287118 Sherri R Evans Counselor 18310 Astor Dr Apt 201, Brookfield, WI 53045-5643 2019-10-24
1801455811 Focused Solutions Counseling LLC Counselor 21 Oak Grove Road, Brookfield, CT 06804-2010 2019-06-12
1972079119 Vanessa Morales Lopez Counselor 3132 Prairie Ave, Brookfield, IL 60513-1435 2018-10-15
1033631130 Kewonia Hogans-rhodes Counselor 13105 W Bluemound Rd Ste 100, Brookfield, WI 53005-8046 2017-07-10
1245751858 Linda Dixon Counselor 2 Old New Milford Rd Ste 2a, Brookfield, CT 06804-2426 2017-07-05
1700246121 Project Hope Counseling Counselor 300 Federal Rd Ste 209, Brookfield, CT 06804-2412 2016-02-26
1619340619 Erin Schmidt Counselor 15850 W Bluemound Rd Ste 208, Brookfield, WI 53005-6007 2015-11-12
1285048330 Altagracia Trinidad Counselor 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 2014-06-17
1194144519 Loredana Kratzer Counselor 3513 Blanchan Ave, Brookfield, IL 60513-1101 2014-04-14
1790040053 Nicole Joy Taylor Counselor 9120 Fairview Ave, Brookfield, IL 60513-1532 2012-07-11
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Competitor

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City BROOKFIELD
Zip Code 53005

Improve Information

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Dataset Information

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.

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