TOBIAS D KAEMMERER (NPI# 1114449949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114449949 |
| Entity Type | Individual |
| Full Name | TOBIAS D KAEMMERER |
| Credential | PSYD |
| Practice Address |
2901 W Kinnickinnic River Pkwy Ste 417 Milwaukee WI 53215-3660 |
| Practice Telephone | (414) 385-8771 |
| Practice Fax Number | 4143852399 |
| Mailing Telephone | 4143858771 |
| Mailing Fax Number | 4143852399 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 3497 | WI | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 071-009517 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2901 W KINNICKINNIC RIVER PKWY STE 417 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-3660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821360199 | Tiffany M Jacobsen | Clinical Neuropsychologist | 2448 S 102nd St Ste 270, Milwaukee, WI 53227-2147 | 2012-02-02 |
| 1821201930 | Bonita P Klein-tasman | Clinical Neuropsychologist | 2441 E Hartford Ave, Garland 210, Milwaukee, WI 53211-3160 | 2007-05-07 |
| 1316008303 | Thomas Fisher | Clinical Neuropsychologist | 2419 S. Lenox Street, Milwaukee, WI 53207 | 2006-12-13 |
| 1871106575 | Elisabeth Mary Vogt | Clinical Neuropsychologist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2020-08-24 |
| 1689167694 | Erin Quasney | Clinical Neuropsychologist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2018-06-13 |
| 1134618903 | Kathleen H Elverman | Clinical Neuropsychologist | 2901 W Kinnickinnic River Pkwy Ste 403, Milwaukee, WI 53215-3660 | 2018-05-07 |
| 1972090462 | Sara B Pillay | Clinical Neuropsychologist | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2018-04-19 |
| 1518486794 | Joseph Lee Amaral Jr. | Clinical Neuropsychologist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2017-09-19 |
| 1760890784 | Lindsay Nelson | Clinical Neuropsychologist | 9200 W Wisconsin Ave, Dept of Neurosurgery, Milwaukee, WI 53226-3522 | 2014-07-23 |
| 1962819706 | Michelle Loman Moudry | Clinical Neuropsychologist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2014-07-14 |
| Find all providers in MILWAUKEE | ||||
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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.