AASIYAH CLARK (NPI# 1235578709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235578709 |
Entity Type | Individual |
Full Name | AASIYAH CLARK |
Credential | LPC |
Practice Address |
2222 N Mayfair Rd Wauwatosa WI 53226-2262 |
Mailing Address |
2222 N Mayfair Rd Ste 120 Wauwatosa WI 53226-2262 |
Practice Telephone | 4149399390 |
Mailing Telephone | 4149399390 |
Enumeration Date | 2013-06-18 |
Last Update Date | 2019-12-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
Y | 101YP2500X |
Counselor Specialization: Professional |
7572-125 | WI | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
3700-226 | WI | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2626 Charles Dr, Chalmette, LA 700433779 | 5042784006 | |
5235 N Ironwood Rd, Glendale, WI 532174906 | 4149021500 | |
3505 N 124th St, Brookfield, WI 53005 | 4144314444 |
Street Address |
2222 N MAYFAIR RD |
City | WAUWATOSA |
State | WI |
Zip Code | 53226-2262 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417322868 | Prevail Psychiatry LLC | Psychiatry & Neurology | 2222 N Mayfair Rd, Wauwatosa, WI 53226-2208 | 2015-12-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
Find all providers in zip 53226 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265066260 | Lisa Marie Zwagerman | Counselor | 1434 N 122nd St, Wauwatosa, WI 53226-3122 | 2020-02-27 |
1013461573 | Michael Richard Kiel | Counselor | 3636 N 124th St Ste 300, Wauwatosa, WI 53222-2125 | 2016-08-12 |
1346652153 | Kristin Michelle Walker | Counselor | 2222 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-2262 | 2014-05-28 |
1619301355 | Matthew T Vahl | Counselor | 1033 N Mayfair Rd Ste 305, Wauwatosa, WI 53226-3442 | 2013-08-29 |
1710221726 | Judy Stevens | Counselor | 1011 N Mayfair Rd Ste 101, Wauwatosa, WI 53226-3431 | 2012-11-15 |
1902119753 | Totty & Associates | Counselor | 7251 W. North Avenue, Suite 1, Wauwatosa, WI 53213 | 2010-07-22 |
1992941942 | Sarah R Wolf | Counselor | 1233 N Mayfair Rd Ste 206, Wauwatosa, WI 53226-3255 | 2008-12-22 |
1073614483 | Christine Anne Brudnicki | Counselor | 3800 N Mayfair Road, Wauwatosa, WI 53222-2213 | 2006-09-26 |
1871602870 | Janice Elaine Lieber | Counselor | 1220 Dewey Avenue, Wauwatosa, WI 53213-2504 | 2006-08-30 |
1154356095 | Tamara Marie Makhlouf | Counselor | 3015 N 114th St, Wauwatosa, WI 53222-4208 | 2006-07-11 |
Find all providers in WAUWATOSA |
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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.