JACQUELYN SIRIANNI (NPI# 1174183446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
4601 CAMP PHILLIPS RD |
City | WESTON |
State | WI |
Zip Code | 54476-1572 |
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 |
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 |
1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
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 |
1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
1376600395 | Elroy David Koskey | Physical Therapist | 4203 Schofield Avenue, Suite 9, Weston, WI 54476 | 2007-01-02 |
Find all providers in zip 54476 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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1376161364 | Julie Fisher Sherman | Counselor | 19157 S Gardenia Ave, Weston, FL 33332-4400 | 2020-07-07 |
1902428329 | Megan Healey | Counselor | 16404 Diamond Head Dr, Weston, FL 33331-3105 | 2020-05-07 |
1487275954 | Melissa M Riesgo | Counselor | 2645 Executive Park Dr Ste 149, Weston, FL 33331-3624 | 2020-05-06 |
1508406307 | Maria Alexandra Munera | Counselor | 1558 Veracruz Ln Fl Usa, Weston, FL 33327-1732 | 2020-01-09 |
1922665579 | Rosa Rauseo-mazzocca | Counselor | 4160 Pine Ridge Ln, Weston, FL 33331-5030 | 2019-05-20 |
1124683289 | Sergio Garroni | Counselor | 1115 Fairlake Trce Apt 2210, Weston, FL 33326-2849 | 2019-05-04 |
1750945911 | Elsa Cristina Gonzalez | Counselor | 2225 N Commerce Pkwy Ste 6, Weston, FL 33326-3240 | 2019-04-23 |
1942762406 | Veronica Ucciferri | Counselor | 709 Bald Cypress Rd, Weston, FL 33327-2454 | 2019-04-03 |
Find all providers in WESTON |
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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.