STACY L KILLINGER (NPI# 1205204096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205204096 |
| Entity Type | Individual |
| Full Name | STACY L KILLINGER |
| Credential | PHD |
| Practice Address |
7617 Mineral Point Rd Ste 300 Madison WI 53717-1623 |
| Mailing Address |
427 E Whispering Pines Way Verona WI 53593-2266 |
| Practice Telephone | 6088339290 |
| Mailing Telephone | 6083545871 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100048496 | 05 |
| Street Address |
7617 MINERAL POINT RD STE 300 |
| City | MADISON |
| State | WI |
| Zip Code | 53717-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033304852 | Jennifer Anne Hayes | Social Worker | 7617 Mineral Point Rd Ste 300, Madison, WI 53717-1623 | 2007-09-14 |
| 1346858792 | Justin Mistretta | Counselor | 7617 Mineral Point Rd Ste 300, Madison, WI 53717-1623 | 2020-07-21 |
| 1851876312 | Katie Moore | Psychologist | 7617 Mineral Point Rd Ste 300, Madison, WI 53717-1623 | 2018-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
| 1467943795 | Brittany Macrander | Speech-Language Pathologist | 701 Deming Way, Madison, WI 53717 | 2018-05-22 |
| 1144622614 | Christopher Leclair | Pharmacist | 7942 Tree Ln, Suite 201, Madison, WI 53717 | 2014-09-16 |
| 1740617430 | Martha Darlene Kniffin | Marriage & Family Therapist | 1805 Excelsior Dr, The Family Center, Madison, WI 53717 | 2013-09-26 |
| 1740538305 | Amber J Thompson | Specialist | 8202 Excelisor Dr, Madison, WI 53717 | 2012-08-29 |
| 1457622938 | Kimberly F Lauth | Physician Assistant | 1200 Q Hammons Drive, Suite 400, Madison, WI 53717 | 2012-01-16 |
| 1699042499 | Cameron K Birch | Pharmacist | 9741 Tree Lane, Suite 201, Madison, WI 53717 | 2011-11-22 |
| 1508023102 | Katherine Jo Hartkopf | Pharmacist | 8501 Excelsior Drive, Rm. 337, Madison, WI 53717 | 2008-05-21 |
| 1366614885 | Periodontal & Implant Specialists of Madison, LLC | Dentist | 49 N Walbridge Ave., Madison, WI 53717 | 2008-03-25 |
| 1598961005 | John H Greist | Psychiatry & Neurology | Healthcare Technology Systems, Inc., 7617 Mineral Point Rd., Ste. 300, Madison, WI 53717 | 2007-06-22 |
| Find all providers in zip 53717 | ||||
| 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 |
| Find all providers in MADISON | ||||
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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.