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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 39197200 | 05 |
Street Address |
13105 W BLUEMOUND RD SUITE 100 |
City | BROOKFIELD |
State | WI |
Zip Code | 53005-8046 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
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 |
Find all providers in zip 53005 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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 |
Find all providers in BROOKFIELD |
City | BROOKFIELD |
Zip Code | 53005 |
Please comment or provide details below to improve the information on MR. ROGER PATRICK NORTHWAY.
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.