COLLEEN MARY MORTELL (NPI# 1194814269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194814269 |
| Entity Type | Individual |
| Full Name | COLLEEN MARY MORTELL |
| Credential | PH.D. |
| Practice Address |
2727 Marshall Ct Madison WI 53705-2255 |
| Practice Telephone | 6082389354 |
| Practice Fax Number | 6082387675 |
| Mailing Telephone | 6082389354 |
| Mailing Fax Number | 6082387675 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2035-057 | WI | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 2035 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39712000 | 05 |
| Street Address |
2727 MARSHALL CT |
| City | MADISON |
| State | WI |
| Zip Code | 53705-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427039353 | Amy Jean Miller | Nurse Practitioner | 2727 Marshall Ct, Madison, WI 53705-2255 | 2005-11-08 |
| 1568090363 | Deirdre Dea Green | Social Worker | 2727 Marshall Ct, Madison, WI 53705-2255 | 2020-03-29 |
| 1447696976 | Michael A Gerst | Social Worker | 2727 Marshall Ct, Madison, WI 53705-2255 | 2013-05-10 |
| 1578829230 | Shane Anton Creado | Internal Medicine | 2727 Marshall Ct, Madison, WI 53705-2255 | 2012-04-07 |
| 1902098957 | Psychiatric Services Sc | Psychologist | 2727 Marshall Ct, Madison, WI 53705-2255 | 2007-08-14 |
| 1194932038 | James S Rohan | Psychiatry & Neurology | 2727 Marshall Ct, Madison, WI 53705-2255 | 2007-05-17 |
| 1124173364 | Joy Katharine Rice | Psychologist | 2727 Marshall Ct, Madison, WI 53705-2255 | 2007-01-25 |
| 1447303599 | Michael James Spierer | Psychologist | 2727 Marshall Ct, Madison, WI 53705-2255 | 2007-01-20 |
| 1679620694 | Rachel Karen Heilizer | Psychologist | 2727 Marshall Ct, Madison, WI 53705-2255 | 2007-01-04 |
| 1457434771 | Barbara Anne Vanhorne | Psychologist | 2727 Marshall Ct, Madison, WI 53705-2255 | 2006-10-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
| 1104343243 | Aisling Margaret Tallman | Physician Assistant | 725 University Row, Apt 124, Madison, WI 53705 | 2017-08-29 |
| 1346785938 | Rachel Maria Sanabria | Social Worker | 4513 Vernon Blvd Ste 100, Madison, WI 53705 | 2017-01-05 |
| 1124482856 | Samantha Jo Juve | Social Worker | 313 Price Pl Ste 212, Madison, WI 53705 | 2016-04-08 |
| 1912373002 | Brittany Dennis | Counselor | 5005 University Avenue, Suite 100, Madison, WI 53705 | 2015-08-12 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| 1396083168 | Madison Psychiatric & Psychological Services | Psychiatry & Neurology | 702 N. Blackhawk Ave, #100, Madison, WI 53705 | 2013-01-29 |
| 1174872808 | Natasha Bulat | Massage Therapist | 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 | 2012-09-10 |
| 1033401609 | Ann B Braus | Family Medicine | 6209 Mineral Point Rd, Madison, WI 53705 | 2011-05-13 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073138327 | Rachel Kahn | Psychologist | 501 Acacia Ln, Madison, WI 53716-3238 | 2020-06-12 |
| 1700363652 | Capital City Psychology, LLC | Psychologist | 313 Price Pl Ste 210, Madison, WI 53705-3262 | 2018-07-24 |
| 1093222010 | Leya Moore | Psychologist | 1415 Rutledge St, Madison, WI 53703-3834 | 2017-12-29 |
| 1306359591 | Elizabeth Gaebler | Psychologist | 700 Ray O Vac Dr Ste 114, Madison, WI 53711-2468 | 2017-11-09 |
| 1619489135 | Streicher-bremer Psychotherapy Sc | Psychologist | 1619 Monroe St Ste 2, Madison, WI 53711-2063 | 2017-10-25 |
| 1356736565 | Madison Behavioral Psychology, LLC | Psychologist | 7818 Big Sky Dr Ste 210, Madison, WI 53719-3524 | 2015-04-03 |
| 1457756595 | Familypath Autism Services, LLC | Psychologist | 575 Donofrio Dr Ste 101, Madison, WI 53719-2832 | 2014-10-31 |
| 1104184142 | Hurd Counseling and Educational Psychology | Psychologist | 700 Rayovac Drive, Madison, WI 53711 | 2012-04-27 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1225342280 | Daniel P. Davis | Psychologist | 7601 Ganser Way, 2nd Floor Suite, Madison, WI 53719-2074 | 2010-08-02 |
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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.