JACQUELYN SIRIANNI


Address: 4601 Camp Phillips Rd, Weston, WI 54476-1572
Phone: 7158485022

JACQUELYN SIRIANNI (NPI# 1174183446) 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) 1174183446
Entity Type Individual
Full Name JACQUELYN SIRIANNI
Credential MS LPC-IT
Practice Address 4601 Camp Phillips Rd
Weston
WI 54476-1572
Practice Telephone 7158485022
Practice Fax Number 8887786750
Mailing Telephone 7158485022
Mailing Fax Number 8887786750
Enumeration Date 2019-06-18
Last Update Date 2019-06-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 4601 CAMP PHILLIPS RD
City WESTON
State WI
Zip Code 54476-1572

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679018022 Alexis Legenza Behavioral Analyst 4601 Camp Phillips Rd, Weston, WI 54476 2016-12-21
1801381173 Skylight Autism Center Behavioral Analyst 4601 Camp Phillips Rd, Weston, WI 54476-1572 2018-06-28

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NPI Name Taxonomy Address Enumeration
1407406309 Kelly Hodge Technician 118 Marguerite St, Schofield, WI 54476 2019-09-13
1427557529 Brandon David Parmer Licensed Practical Nurse 134 Kurth St, Schofield, WI 54476 2018-02-05
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1699176487 Reenu Mathew Pharmacist 5305 U.S. Hwy Business 51, Weston, WI 54476 2014-09-11
1063812246 Brian Weiland Psychologist 2405 Schofield Ave Ste 220, Weston, WI 54476 2014-08-25
1194087759 Susan C Coady Physical Therapist 4605 Valres Springs Court, Weston, WI 54476 2012-06-11
1053437467 Emmie Jo Kasat Speech-Language Pathologist 4605 Valdres Springs Court, Weston, WI 54476 2007-03-21
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1376600395 Elroy David Koskey Physical Therapist 4203 Schofield Avenue, Suite 9, Weston, WI 54476 2007-01-02
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City WESTON
Zip Code 54476

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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