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).
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 |
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 |
Street Address |
2801 CALUMET DR |
City | SHEBOYGAN |
State | WI |
Zip Code | 53083-3839 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629341748 | Wendy Marie Kirst | Licensed Practical Nurse | 2639 North 9th Street, Sheboygan, WI 53083 | 2012-02-21 |
1194912493 | Assisted Living Concepts Inc | Assisted Living Facility | 1231 Eisner Avenue, Sheboygan, WI 53083 | 2007-10-01 |
1629265350 | David P Mayer | Dentist | 2705 N 8th Street, Sheboygan, WI 53083 | 2007-09-26 |
1760683510 | Ginger Adams | Physical Therapy Assistant | 3431 North 13th Street, Sheboygan, WI 53083 | 2007-05-30 |
1295947778 | Jodi Lynn Wagner | Occupational Therapist | 2629 North 7th Street, Sheboygan, WI 53083 | 2007-05-04 |
1306067491 | School District of Howards Grove | Local Education Agency (LEA) | 403 Audubon Road, Howards Grove, WI 53083 | 2007-05-02 |
1902023955 | Aurora Health Care Central, Inc. | Community/Behavioral Health | 2629 N 7th St., Sheboygan, WI 53083 | 2007-04-19 |
1497860498 | Charles J Gehring Jr. | Anesthesiology | 4945 Blackstock Rd, Sheboygan, WI 53083 | 2006-08-20 |
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 |
Find all providers in zip 53083 |
Taxonomy Code | 103TA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023656162 | Dynamic Potential | Psychologist | 316 5th St Ste 2, Racine, WI 53403-4606 | 2019-12-19 |
1932312212 | Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr | Psychologist | 3601 30th Ave Ste 102, Kenosha, WI 53144-1642 | 2007-05-07 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on FREDRICK O BECK.
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.