FREDRICK O BECK


Address: 2801 Calumet Dr, Sheboygan, WI 53083-3839
Phone: 9204516908

FREDRICK O BECK (NPI# 1114093929) 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) 1114093929
Entity Type Individual
Full Name FREDRICK O BECK
Credential CADC III
Practice Address 2801 Calumet Dr
Sheboygan
WI 53083-3839
Mailing Address 2801 Calumet Dr
Sheboygan
WI 53083
Practice Telephone 9204516908
Practice Fax Number 9204586439
Mailing Telephone 9204516908
Mailing Fax Number 9204586439
Enumeration Date 2006-11-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
350 WI Behavioral Health & Social Service Providers

Office Location

Street Address 2801 CALUMET DR
City SHEBOYGAN
State WI
Zip Code 53083-3839

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063432433 Darlene Jean Mech Psychologist 2801 Calumet Dr, Sheboygan, WI 53083-3839 2006-07-20
1013357680 Nancy Ellen Koene Social Worker 2801 Calumet Dr, Sheboygan, WI 53083-3839 2013-06-27
1245575463 Debra Lee Vanderweele Counselor 2801 Calumet Dr, Sheboygan, WI 53083-3839 2012-11-28
1619006483 Thomas J Pritzl Counselor 2801 Calumet Dr, Sheboygan, WI 53083-3839 2007-03-05
1346308988 Sheri A Severson Counselor 2801 Calumet Dr, Sheboygan, WI 53083 2006-12-05
1053406066 Nett Work Family Counseling LLC Clinic/Center 2801 Calumet Dr, Sheboygan, WI 53083 2006-10-04
1043322993 Christine Marie Nett Social Worker 2801 Calumet Dr, Sheboygan, WI 53083 2006-08-31

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NPI Name Taxonomy Address Enumeration
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1760683510 Ginger Adams Physical Therapy Assistant 3431 North 13th Street, Sheboygan, WI 53083 2007-05-30
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1306067491 School District of Howards Grove Local Education Agency (LEA) 403 Audubon Road, Howards Grove, WI 53083 2007-05-02
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1760595300 Tina Marie Ottman-boykin Counselor 2801 Calumet Drive, Sheboygan, WI 53083 2006-08-17
1588043186 Abby M Safranski Family Medicine 620 S Wisconsin Dr, Howards Grove, WI 53083 2015-05-28
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Taxonomy Information

Taxonomy Code 103TA0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1154742880 Larry E Taylor Psychologist 10532 N Port Washington Rd, Mequon, WI 53092-5563 2013-12-24
1790021897 Brian Michael Flynn Psychologist 600 W Virginia St, Suite 203, Milwaukee, WI 53204-1500 2012-12-17
1821358185 Henry Steinberger Phd LLC Psychologist 313 Price Pl, Suite 209, Madison, WI 53705-3262 2012-05-21
1043592173 Andrew Wesley Kingwell Psychologist 500 E Veterans St, Tomah, WI 54660 2011-09-14
1285960518 Craig D. Childs Psychologist 394 Williamstowne, Suite 202, Delafield, WI 53018-2322 2009-10-21
1255408811 Paul F Strand Psychologist 130 E Walnut St, Suite 706, Green Bay, WI 54301-4239 2006-11-29
1194811034 Susan L Jungen Psychologist 300 Crooks Street, Green Bay, WI 54305-2308 2006-10-05
1841242294 Jo M Weis Psychologist 1155 North Mayfair Road, Behavioral Health Clinic @ Tosa, Milwaukee, WI 53226 2006-05-16
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Competitor

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City SHEBOYGAN
Zip Code 53083

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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