PKM CLINICAL SOLUTIONS LLC (NPI# 1295202976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295202976 |
| Entity Type | Organization |
| Organization Name | PKM CLINICAL SOLUTIONS LLC |
| Practice Address |
W206s7867 Pasadena Dr Muskego WI 53150-9532 |
| Practice Telephone | 2629715015 |
| Practice Fax Number | 8552107399 |
| Mailing Telephone | 2629715015 |
| Mailing Fax Number | 8552107399 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |
| Authorized Official Name | DR. PATRIC W MATTEK (PARTNER) |
| Authorized Official Telephone | 2629715015 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | NPPES | 1477540243 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 970 S Silver Lake St Ste 102, Oconomowoc, WI 530663802 | 2625697100 |
| Street Address |
W206S7867 PASADENA DR |
| City | MUSKEGO |
| State | WI |
| Zip Code | 53150-9532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003238213 | Forefront Dermatology, S.c. | Dermatology | S.69 W.15472 Janesville Road, Muskego, WI 53150 | 2014-01-08 |
| 1538590815 | Quirt Family Dentistry, Sc | Dentist | S69 W 15466 Janesville Rd, Muskego, WI 53150 | 2013-12-11 |
| 1093015273 | Angela Margaret Havaich | Registered Nurse | W189 S6940 Lembezeder Ct., Muskego, WI 53150 | 2010-10-22 |
| 1598073108 | Wal-mart Stores East Lp | Technician/Technologist | W159 S6530 Moorland, Muskego, WI 53150 | 2010-09-16 |
| 1477741585 | Lisa Jean Schneider | Audiologist | S64w13838 Jamesville Road, Muskego, WI 53150 | 2007-10-15 |
| 1134349210 | Quality Home Health Care Inc | Home Health | W125 S7554 Coventry Ln, Muskego, WI 53150 | 2007-04-30 |
| 1073631016 | Christine Joanne Schaefer | Physical Therapist | W12929 Mcshane Dr, Muskego, WI 53150 | 2007-03-27 |
| 1508922196 | Joan Marie Rasque | Licensed Practical Nurse | S70w17495 Forest Dr, Muskego, WI 53150 | 2006-12-28 |
| 1821153131 | Christopher Daniel Culligan | Chiropractor | S74 W16845 Janesville Rd., Muskego, WI 53150 | 2006-12-27 |
| 1306881594 | Muskego Nursing Home Inc. | Nursing Facility/Intermediate Care Facility | S. 77-w. 18690 Janesville Rd, Muskego, WI 53150 | 2006-06-19 |
| Find all providers in zip 53150 | ||||
| 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 |
|---|---|---|---|---|
| 1720128523 | Eric J. Bruster | Psychologist | S74w16775 Janesville Rd, Muskego, WI 53150 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205445590 | Elizabeth Ann Mullen-houser | Psychologist | 1507 Winnebago St, La Crosse, WI 54601-4967 | 2020-07-23 |
| 1073138327 | Rachel Kahn | Psychologist | 501 Acacia Ln, Madison, WI 53716-3238 | 2020-06-12 |
| 1184248593 | Jill Mallin | Psychologist | 10 S Water St E, Fort Atkinson, WI 53538-2053 | 2020-06-01 |
| 1669095303 | Generational Cycles LLC | Psychologist | 2208 W Rohr Ave, Milwaukee, WI 53209-5057 | 2020-05-27 |
| 1518529718 | Ellen Marie Meier-licht | Psychologist | 200 N Mall Dr, Appleton, WI 54913-8500 | 2019-07-08 |
| 1396309076 | John Nathaniel Greene Jr. | Psychologist | 6100 N 42nd St, Milwaukee, WI 53209-3560 | 2019-04-27 |
| 1396201455 | Pathways Counseling Services | Psychologist | 1025 56th St, Kenosha, WI 53140-3737 | 2019-02-13 |
| 1912461385 | We All Rise Counseling Services LLC | Psychologist | 529 S Jefferson St Ste 201, Green Bay, WI 54301-4125 | 2019-01-30 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1649747486 | Celeste Hunter | Psychologist | 2916 Marketplace Dr Ste 104, Fitchburg, WI 53719-5327 | 2018-10-30 |
| Find all providers with the same taxonomy | ||||
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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.