BRUCE ANDREW SEMON (NPI# 1114020773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114020773 |
| Entity Type | Individual |
| Full Name | BRUCE ANDREW SEMON |
| Credential | MD |
| Practice Address |
5555 N Port Washington Rd #200 Glendale WI 53217-4927 |
| Practice Telephone | 4149626100 |
| Practice Fax Number | 4149626470 |
| Mailing Telephone | 4149626100 |
| Mailing Fax Number | 4149626470 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
27318 | WI | Allopathic & Osteopathic Physicians |
| X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
27318 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31786300 | 05 |
| Street Address |
5555 N PORT WASHINGTON RD #200 |
| City | GLENDALE |
| State | WI |
| Zip Code | 53217-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306878368 | Jeffrey Lewis Polczinski | Psychologist | 5555 N Port Washington Rd, Suite 304, Glendale, WI 53217 | 2006-07-07 |
| 1831797224 | Jazmin Christine Binns | Counselor | 5555 N Port Washington Rd, Glendale, WI 53217-4929 | 2020-10-16 |
| 1700222338 | Judith Geralyn Tegge | Counselor | 5555 N Port Washington Rd, Suite 200, Glendale, WI 53217-4929 | 2013-05-22 |
| 1164738183 | Julie Rupena-reynolds | Counselor | 5555 N Port Washington Rd, 200, Glendale, WI 53217-4929 | 2010-08-27 |
| 1124291976 | Jeffrey L Polczinski Psyd LLC | Psychologist | 5555 N Port Washington Rd, Suite 304, Glendale, WI 53217 | 2008-04-11 |
| 1033207386 | Caroline G Schmidt | Psychologist | 5555 N Port Washington Rd, Suite 200, Glendale, WI 53217-4929 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679849772 | Raffi Tashjian | Psychiatry & Neurology | 1031 Trafalger Dr, Glendale, CA 91207-1139 | 2012-03-22 |
| 1568649309 | Walter T. Davison, M.d., P.a. | Psychiatry & Neurology | 2540 W Dunwood Rd, Glendale, WI 53209-1824 | 2008-01-23 |
| 1033319322 | Michael Yasinski | Psychiatry & Neurology | 8955 W Northview Ave, Glendale, AZ 85305-1621 | 2007-07-24 |
| 1235332883 | Hermes Gerundo | Psychiatry & Neurology | 5022 N 54th Ave Ste 4, Glendale, AZ 85301-7531 | 2007-06-08 |
| 1255476180 | Noemi Contreras | Psychiatry & Neurology | 225 N Maryland Ave, #d, Glendale, CA 91206-4237 | 2007-02-20 |
| 1063554566 | Ara D Kadoyan | Psychiatry & Neurology | 1560 E Chevy Chase Dr Suite #340, Glendale, CA 91206 | 2007-02-12 |
| 1790849883 | Bessy M Martirosyan | Psychiatry & Neurology | 141 S Cedar St, Glendale, CA 91205-1207 | 2006-12-21 |
| 1215003207 | Patricia O Kirby | Psychiatry & Neurology | 21448 N 75th Ave Ste 6, Glendale, AZ 85308-5978 | 2006-11-28 |
| 1770668345 | Lilit Yegiazaryan | Psychiatry & Neurology | 138 N Brand Blvd Ste 303, Glendale, CA 91203-4621 | 2006-10-25 |
| 1659472124 | Manohar Sambhaji Shinde | Psychiatry & Neurology | 6425 San Fernando Road, Glendale, CA 91201-3624 | 2006-09-26 |
| Find all providers in GLENDALE | ||||
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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.