MICHELLE L ROSE-BARAJAS (NPI# 1144246182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144246182 |
| Entity Type | Individual |
| Full Name | MICHELLE L ROSE-BARAJAS |
| Credential | PSY.D. |
| Practice Address |
903 Mineral Point Ave Janesville WI 53548-2970 |
| Practice Telephone | 6087565555 |
| Practice Fax Number | 6087560174 |
| Mailing Telephone | 6087565555 |
| Mailing Fax Number | 6087560174 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2012-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
510-126 | WI | Behavioral Health & Social Service Providers |
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
2969-57 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43590100 | 05 |
| Street Address |
903 MINERAL POINT AVE |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53548-2970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811927205 | Mary T. Bonaccorsi | Nurse Practitioner | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2006-07-03 |
| 1417581745 | Tanya N. Olin | Registered Nurse | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2020-02-25 |
| 1396391728 | Briann N. Modos | Registered Nurse | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2019-08-12 |
| 1114579364 | Jessica A. Wallace | Registered Nurse | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2019-07-09 |
| 1811403769 | Rachel V. Sanderson | Counselor | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2017-12-14 |
| 1972038958 | Shelby L. Kandziora | Counselor | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2017-04-27 |
| 1093255929 | Ashley A. Crull | Psychologist | 903 Mineral Point Ave, Janesville, WI 53548 | 2017-02-25 |
| 1639617855 | Stacy M. Condon | Social Worker | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2017-02-08 |
| 1841744216 | Kelly A. Janes | Counselor | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2016-08-15 |
| 1366892044 | Sara J Maly | Counselor | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2016-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578846010 | Patricia Ann Sheets | Licensed Vocational Nurse | 316 N. Terrace St., Janbesville, WI 53548 | 2011-09-21 |
| 1760658983 | Kristy Kay Prentice Kerl | Dental Hygienist | 121 Jonathon Dr, Janesville, WI 53548 | 2008-05-07 |
| 1316005978 | City of Janesville | Emergency Medical Technician, Paramedic | 18 N Jackson St, Janesville, WI 53548 | 2006-12-05 |
| 1558464115 | Sarah Louise Hessenauer | Social Worker | 17 S. River St, Suite 254, Janesville, WI 53548 | 2006-09-07 |
| 1073548327 | Mary Katherine Cefalu | Registered Nurse | 17 S. River, Suite 254, Janesville, WI 53548 | 2006-07-12 |
| 1699707950 | Gary Lavern Jones | Counselor | 175 River, Suite 254, Janesville, WI 53548 | 2006-07-07 |
| 1295767424 | Michael Stuart Kaye | Clinical Neuropsychologist | 17 S River St Ste 254, Janesville, WI 53548 | 2006-07-07 |
| 1205864055 | Amy Laurie Roy | Counselor | 17 S River Suite 254, Janesville, WI 53548 | 2006-06-29 |
| 1518903566 | Leota I Larson | Psychologist | 17 S River, Suite 254, Janesville, WI 53548 | 2006-06-20 |
| 1760950414 | North Star Chiropractic LLC | Chiropractor | 21 S Jackson St, Ste 160, Janesville, WI 53548 | 2018-11-10 |
| Find all providers in zip 53548 | ||||
| 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 |
| 1114093929 | Fredrick O Beck | Psychologist | 2801 Calumet Dr, Sheboygan, WI 53083-3839 | 2006-11-27 |
| 1194811034 | Susan L Jungen | Psychologist | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-05 |
| Find all providers with the same taxonomy | ||||
| City | JANESVILLE |
| Zip Code | 53548 |
Please comment or provide details below to improve the information on MICHELLE L ROSE-BARAJAS.
| 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.