DAVID J LEICHT (NPI# 1417941071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417941071 |
| Entity Type | Individual |
| Full Name | DAVID J LEICHT |
| Credential | PHD |
| Practice Address |
444 N Westhill Blvd Appleton WI 54914-5715 |
| Practice Telephone | 9207507000 |
| Practice Fax Number | 9203642451 |
| Mailing Telephone | 9207507000 |
| Mailing Fax Number | 9203642451 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2017-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1357 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39078500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1531 S Madison St, Appleton, WI 549151800 | 9207304411 |
| Street Address |
444 N WESTHILL BLVD |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-5715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962982421 | Alicia Hans | Social Worker | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2018-08-15 |
| 1407336845 | Kayla Aleson | Social Worker | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2018-08-15 |
| 1215413646 | Nicole Damrow | Counselor | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2018-07-18 |
| 1225529837 | Katherine E Van Groll | Social Worker | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2018-05-21 |
| 1740796390 | Chloe J Kierszh | Counselor | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2017-12-19 |
| 1841709169 | Tyler J Volkert | Counselor | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2017-09-29 |
| 1255850483 | Elizabeth A Specht | Social Worker | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2017-09-19 |
| 1851810568 | Luci M Laluzerne | Counselor | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2017-09-13 |
| 1073032181 | Lois J Johnson | Counselor | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2017-09-11 |
| 1306365408 | Kristin A Dorn | Social Worker | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2017-09-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| 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 |
|---|---|---|---|---|
| 1518529718 | Ellen Marie Meier-licht | Psychologist | 200 N Mall Dr, Appleton, WI 54913-8500 | 2019-07-08 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1609065929 | Sue A.w. Melcher | Psychologist | 2800 E Enterprise Ave, Suite 1, Appleton, WI 54913-7889 | 2007-10-23 |
| 1316130404 | Jessica R Schroeder | Psychologist | 510 E Wisconsin Ave, Suite 1, Appleton, WI 54911-4865 | 2007-08-22 |
| 1235251349 | Sherman Counseling Management, LLC | Psychologist | W6144 Aerotech Drive, Suite D, Appleton, WI 54914-7503 | 2007-04-06 |
| 1548313869 | Steven P Kaplan | Psychologist | 477 S Nicolet Rd, Appleton, WI 54914-8270 | 2007-01-19 |
| 1710073804 | Robert Burkham | Psychologist | 103 W College Ave, Suite 815, Appleton, WI 54911 | 2006-10-05 |
| 1548355084 | Valerie Amelie Delain | Psychologist | 103 W College Ave Ste 1125, Appleton, WI 54911-5744 | 2006-10-03 |
| 1114025343 | Brandon B Hayes | Psychologist | 4351 W College Ave Ste 410, Appleton, WI 54914 | 2006-09-20 |
| 1700897766 | Steven P. Klein | Psychologist | 5733 W Grande Market Dr, Appleton, WI 54913-8472 | 2006-08-11 |
| Find all providers in APPLETON | ||||
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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.