JONATHAN JAMES MIETCHEN


Address: 600 Highland Ave, Madison, WI 53792-9469
Phone: 6082635430

JONATHAN JAMES MIETCHEN (NPI# 1073030961) 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) 1073030961
Entity Type Individual
Full Name JONATHAN JAMES MIETCHEN
Credential T-LMLP
Practice Address 600 Highland Ave
Madison
WI 53792-9469
Mailing Address 7974 Uw Health Ct
Middleton
WI 53562-5531
Practice Telephone 6082635430
Enumeration Date 2017-08-23
Last Update Date 2020-08-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 3815-57 WI Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
2795 KS Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
217 W Ira Ct, Andover, KS 670029469 3167335047

Office Location

Street Address 600 HIGHLAND AVE
City MADISON
State WI
Zip Code 53792-9469

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336141530 Michael A Porte Pediatrics 600 Highland Ave, Madison, WI 53792-0001 2005-06-01
1922606433 Catherine Harnois Radiology 600 Highland Ave, Madison, WI 53792-0001 2020-10-16
1265039812 Sara Brown Nurse Practitioner 600 Highland Ave, Madison, WI 53792-0001 2020-10-07
1063019602 Angela Filauro Schroeder Dietitian, Registered 600 Highland Ave, Madison, WI 53792-0001 2020-10-06
1134736556 Kelly A Kopecki Dietitian, Registered 600 Highland Ave, Madison, WI 53792-0001 2020-09-29
1699382051 Megan Elizabeth Grassl Dietitian, Registered 600 Highland Ave, Madison, WI 53792-0001 2020-09-29
1568079234 Michelle Catherine Sawaya Dietitian, Registered 600 Highland Ave, Madison, WI 53792-0001 2020-09-28
1417564113 Megan Severa Dietitian, Registered 600 Highland Ave, Madison, WI 53792-0001 2020-09-26
1275140055 Danielle Knox Alexander Dietitian, Registered 600 Highland Ave, Madison, WI 53792-0001 2020-09-25
1427665397 Kristan O'toole Dietitian, Registered 600 Highland Ave, Madison, WI 53792-0001 2020-09-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902416969 Cynthia Iradukunda Student in an Organized Health Care Education/Training Program University of Wisconsin School of Medicine and Public H, 600 Highland Ave, B6/319, Madison, WI 53792 2020-08-05
1689162661 Tseun Han James Kong Psychiatry & Neurology Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792 2018-04-25
1194248013 Kyle Erick Rudningen Dermatology Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 2017-07-23
1477083194 Maxwell Joseph Wingelaar Ophthalmology Uw Health University Hospital, Madison, WI 53792 2017-06-14
1790212603 Imad Khan Psychiatry & Neurology Uw Hospitals & Clinics 600 Highland Avenue, Madison, WI 53792 2017-05-23
1700334745 Krista Lee Rieger Pharmacist 600 Higland Avenue, University of Wisconsin Hospital and Clinics, Madison, WI 53792 2016-09-20
1780070086 Christina Amend Pediatrics American Family Childrens Hospital 600 Highland Ave, Madison, WI 53792 2015-04-13
1487040127 Michelle Stoffel Pathology Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792 2015-04-09
1417363888 Jenna Bender Pharmacist 600 Highland Avenue, 1530, University of Wisconsin Hospital and Clinics, Madison, WI 53792 2014-07-07
1841619889 Ying Wang Psychiatry & Neurology 600 Highland Ave,h4/831, Uw Hospital and Clinics, Madison, WI 53792 2014-04-07
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295929461 Laura Palmer Phd LLC Clinical Neuropsychologist 37 Kings Rd Ste 102, Madison, NJ 07940-2500 2007-08-30
1255303475 Bruce P Hermann Clinical Neuropsychologist 600 Highland Av, Madison, WI 53792 2006-02-02
1053314344 Gordon I Herz Clinical Neuropsychologist 478 Commerce Dr, Ste 204, Madison, WI 53719-4993 2005-05-31
1538792940 Gloria M Morel Valdes Clinical Neuropsychologist 600 Highland Ave, Madison, WI 53792-0001 2020-02-14
1316580517 Kelly Nicole Morgan Clinical Neuropsychologist 1313 Fish Hatchery Rd, Madison, WI 53715-1911 2019-10-21
1548817935 John Stratton Clinical Neuropsychologist 600 Highland Ave, Madison, WI 53792-0001 2019-08-21
1730640178 Victoria Jade Williams Clinical Neuropsychologist 5249 E Terrace Dr, Madison, WI 53718-8339 2019-03-28
1295216430 Sarah A Vadnais Clinical Neuropsychologist 1313 Fish Hatchery Rd, Madison, WI 53715-1911 2018-08-26
1629519475 Natalie M Klempel Clinical Neuropsychologist 1313 Fish Hatchery Rd, Madison, WI 53715-1911 2017-03-13
1366996928 Erin Plumley Clinical Neuropsychologist 20 S Park St, Madison, WI 53715-1348 2016-08-11
Find all providers in MADISON

Competitor

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City MADISON
Zip Code 53792

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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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