MICHELLE R GRYCZKOWSKI (NPI# 1073813804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073813804 |
| Entity Type | Individual |
| Full Name | MICHELLE R GRYCZKOWSKI |
| Credential | PHD |
| Practice Address |
6001 Research Park Blvd Madison WI 53719-1176 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6082323171 |
| Practice Fax Number | 6082629246 |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2015-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
3267 | WI | Behavioral Health & Social Service Providers |
| Street Address |
6001 RESEARCH PARK BLVD |
| City | MADISON |
| State | WI |
| Zip Code | 53719-1176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747067 | Timmons H Hamrick IIi | Psychiatry & Neurology | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2005-08-18 |
| 1518427277 | Aisha I Rosh | Psychologist | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2019-03-20 |
| 1144705567 | Elizabeth Gail Weitz | Nurse Practitioner | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2018-10-02 |
| 1538644018 | Melissa Heinemann | Psychologist | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2018-10-01 |
| 1083192074 | Jessica Anne Umhoefer | Psychologist | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2018-08-01 |
| 1003338864 | Sharon K. Finlayson | Nurse Practitioner | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2017-07-13 |
| 1467903849 | Brianne Mw Vandyke | Physical Therapist | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2016-10-20 |
| 1205383049 | Katherine Elizabeth Schaumberg | Psychologist | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2016-09-09 |
| 1164876777 | Jacob Ferris | Psychiatry & Neurology | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2016-04-20 |
| 1023496783 | Allison Marie Detloff | Psychologist | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2015-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720120959 | Advanced Psychological Innovations | Psychologist | 6418 Normandy Ln, Suite 215, Madison, WI 53719-1149 | 2007-02-13 |
| 1548279045 | Dolores Kluppel Vetter | Psychologist | 6401 Odana Rd, Ste A, Madison, WI 53719-1126 | 2006-08-05 |
| 1982874525 | Irene P Bartell | Psychologist | 6418 Normandy Ln, Suite 215, Madison, WI 53719-1149 | 2008-03-11 |
| 1912052689 | Phyllis Holt Viltz | Psychologist | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2007-01-24 |
| 1962574665 | Jeanne Marie Behrend | Psychologist | 5610 Medical Circle, Suite 25, Madison, WI 53719-1295 | 2006-11-15 |
| 1538195607 | Steven R Stein | Psychologist | 700 Ray O Vac Dr, Madison, WI 53711 | 2006-06-23 |
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|---|---|---|---|---|
| 1386109924 | Rebecca Timmins | Psychologist | 231 9th St, Menasha, WI 54952-2266 | 2019-02-07 |
| 1225368723 | Colleen A Ryan | Psychologist | N1563 County Road H, Palmyra, WI 53156-9738 | 2010-01-05 |
| 1548417389 | Nadia S Damm | Psychologist | 10855 W Potter Rd Ste 21, Wauwatosa, WI 53226-3439 | 2008-08-23 |
| 1568573715 | Omne Clinic Inc | Psychologist | 233 E La Salle Avenue, Barron, WI 54812 | 2006-08-31 |
| 1619081437 | Omne Clinic, Inc. | Psychologist | 101 N. Farwell Street, Ste. 204, Eau Claire, WI 54703 | 2006-08-18 |
| 1316977192 | Tasha Farrar | Psychologist | 3301 N Ballard Rd Ste C, Appleton, WI 54911-9002 | 2006-07-04 |
| 1962462093 | John M O'donnell | Psychologist | 5225 N Ironwood Ln, Suite # 212, Glendale, WI 53217-4909 | 2006-03-24 |
| 1215913207 | Phyllis Kasper | Psychologist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2005-12-21 |
| 1922441195 | Medical Mobile Specialists S.c. | Psychologist | 347 Park Ave, Pewaukee, WI 53072-3413 | 2013-04-08 |
| 1255693115 | Thomas Mark Ledoux | Psychologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2012-06-15 |
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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.