JUDITH KISICKI (NPI# 1306819925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306819925 |
| Entity Type | Individual |
| Full Name | JUDITH KISICKI |
| Credential | M.D. |
| Practice Address |
Behavioral Medicine Center 721 American Avenue Suite 501 Waukesha WI 53188 |
| Practice Telephone | 2629282396 |
| Practice Fax Number | 2625441213 |
| Mailing Telephone | 2629282396 |
| Mailing Fax Number | 2625441213 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2013-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35592 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32060400 | 05 |
| Street Address |
BEHAVIORAL MEDICINE CENTER 721 AMERICAN AVENUE SUITE 501 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962476168 | Michael Raster | Psychiatry & Neurology | Behavioral Medicine Center, 721 American Ave Suite 501, Waukesha, WI 53188 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053538843 | Summit Medical Specialists, Sc | Psychiatry & Neurology | 2717 N Grandview Blvd Ste 202, Waukesha, WI 53188-1660 | 2007-04-20 |
| 1043344823 | Charles Adams Cahill IIi | Psychiatry & Neurology | W235 S4478 Amber Court, Waukesha, WI 53189-7977 | 2007-03-15 |
| 1821195777 | David Holloway | Psychiatry & Neurology | 2717 N Grandview Blvd Ste 303, Waukesha, WI 53188-1660 | 2006-09-20 |
| 1710940572 | Mark D Biehl | Psychiatry & Neurology | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2006-04-11 |
| 1629043765 | Shara Grover | Psychiatry & Neurology | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2006-02-22 |
| 1710987987 | Patrick R Helfenbein | Psychiatry & Neurology | 721 American Ave, Suite 501, Waukesha, WI 53188-5071 | 2005-07-28 |
| 1750818746 | Diego Marin | Psychiatry & Neurology | N19w24400 Riverwood Dr Ste 350, Waukesha, WI 53188 | 2017-05-22 |
| 1700221991 | Emily Rebecca Walz | Psychiatry & Neurology | 309 E North St, Waukesha, WI 53188-3718 | 2013-05-01 |
| 1891927729 | Veronica Makhija | Psychiatry & Neurology | 721 American Ave, Suite 501, Waukesha, WI 53188-5071 | 2009-08-11 |
| 1093961641 | Chandra Sheila Unni | Psychiatry & Neurology | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2008-08-14 |
| Find all providers in WAUKESHA | ||||
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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.