LEE M GRUENWALD (NPI# 1437116357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437116357 |
Entity Type | Individual |
Full Name | LEE M GRUENWALD |
Credential | MD |
Practice Address |
4065 N 35th St Milwaukee WI 53216-1705 |
Practice Telephone | 4144459180 |
Practice Fax Number | 4144455995 |
Mailing Telephone | 4144459180 |
Mailing Fax Number | 4144455995 |
Enumeration Date | 2006-04-26 |
Last Update Date | 2014-07-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
44431 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 34276900 | 05 |
Street Address |
4065 N 35TH ST |
City | MILWAUKEE |
State | WI |
Zip Code | 53216-1705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457994998 | Derek John Ciecko | Occupational Therapist | 4065 N 35th St, Milwaukee, WI 53216-1705 | 2019-10-28 |
1275026866 | Melinda A Hardge | Counselor | 4065 N 35th St, Milwaukee, WI 53216-1705 | 2018-06-08 |
1982155545 | Patrice Denise Preston | Case Manager/Care Coordinator | 4065 N 35th St, Milwaukee, WI 53216-1705 | 2016-10-19 |
1609329176 | Gwen Marie Anderson | Counselor | 4065 N 35th St, Milwaukee, WI 53216-1705 | 2016-08-01 |
1669835344 | Katherine Elizabeth Blackwell | Case Manager/Care Coordinator | 4065 N 35th St, Milwaukee, WI 53216-1705 | 2016-03-31 |
1255792644 | Brianna Jean Reti | Case Manager/Care Coordinator | 4065 N 35th St, Milwaukee, WI 53216-1705 | 2016-03-11 |
1770944266 | Danielle Marie Green | Case Manager/Care Coordinator | 4065 N 35th St, Milwaukee, WI 53216-1705 | 2016-03-11 |
1922475268 | Heidi Hungerford | Case Manager/Care Coordinator | 4065 N 35th St, Milwaukee, WI 53216-1705 | 2015-08-21 |
1033597166 | Christy J Hubbard | Case Manager/Care Coordinator | 4065 N 35th St, Milwaukee, WI 53216-1705 | 2015-05-08 |
1811240674 | Rebecca Lynn Crum Koppes | Social Worker | 4065 N 35th St, Milwaukee, WI 53216-1705 | 2012-10-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
Find all providers in zip 53216 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164517082 | Moitreyee Bandyopadhyay Reddy | Psychiatry & Neurology | 9000 W.wisconsin Avenue, Milwaukee, WI 53201-1997 | 2006-10-04 |
1619920394 | Joseph P O'grady Jr. | Psychiatry & Neurology | 8701 Watertown Plank Road, Medical College of Wisconsin Dept of Psychiatry, Milwaukee, WI 53226 | 2006-05-17 |
1417301839 | Jeremy Chapman | Psychiatry & Neurology | 8701 W Watertown Plank Rd, Attn: Mcw Dept. Psychiatry and Behavioral Sciences, Milwaukee, WI 53226-3548 | 2016-04-21 |
1386062180 | Colleen Manak | Psychiatry & Neurology | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2014-03-31 |
1306264288 | Jennifer Zaspel | Psychiatry & Neurology | 9000 W Wisconsin Ave, Milwaukee, WI 53226 | 2014-03-28 |
1104260579 | James Stevens | Psychiatry & Neurology | 9000 W Wisconsin Ave, Milwaukee, WI 53226 | 2013-04-29 |
1871751362 | Marika Inga Wrzosek | Psychiatry & Neurology | 9000 W Wisconsin Ave, Pediatric Psychiatry, Milwaukee, WI 53226-4874 | 2008-05-30 |
1144400557 | Lalit Kumar Singh | Psychiatry & Neurology | 11101 W Lincoln Ave, Milwaukee, WI 53227-1133 | 2007-11-14 |
1366572000 | Kathleen A. Koth | Psychiatry & Neurology | 9000 W Wisconsin Ave, Fifth Floor, Suite 510, Milwaukee, WI 53226-4874 | 2007-03-06 |
1770647364 | Jennifer Rae King | Psychiatry & Neurology | 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 | 2006-12-20 |
Find all providers in MILWAUKEE |
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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.