CYNTHIA D SORENSON (NPI# 1518004753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518004753 |
Entity Type | Individual |
Full Name | CYNTHIA D SORENSON |
Credential | PHD |
Practice Address |
1701 Sharp Rd Waterford WI 53185-5214 |
Practice Telephone | 2625347297 |
Practice Fax Number | 2625347257 |
Mailing Telephone | 2625347297 |
Mailing Fax Number | 2625347257 |
Enumeration Date | 2007-01-30 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
2449057 | WI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 39151400 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902918154 | Cynthia Sorenson | Nurse Practitioner | 3605 Stewart Ave, Wausau, WI 54401 | 2006-08-31 |
Street Address |
1701 SHARP RD |
City | WATERFORD |
State | WI |
Zip Code | 53185-5214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396726873 | Lakeview Neurorehab Center Midwest, Inc | Ambulance | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2005-11-10 |
1720603327 | Mro2 Consulting, LLC | Physical Medicine & Rehabilitation | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2020-06-10 |
1548737349 | Ashlee Leidall | Physical Medicine & Rehabilitation | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2018-10-30 |
1134695521 | Christine Fregien | Physical Therapy Assistant | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2018-10-23 |
1285148049 | Melissa Schellenberger | Counselor | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2017-11-30 |
1932506169 | Mary Grajewski | Speech-Language Pathologist | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2014-12-03 |
1366787863 | Ihc Hospitalists LLC | Hospitalist | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2012-12-10 |
1033460936 | Lakeview Neurorehab Center Midwest, Inc. | Ambulance | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2012-10-02 |
1689959413 | Erica Lynn Heisser | Speech-Language Pathologist | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2011-10-12 |
1083924732 | Lakeview Care Partners, Inc. | Behavioral Analyst | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2010-10-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649755695 | Alyssa Jane Revolinski | Respite Care | 269435 S Elm Lane, Waterford, WI 53185 | 2018-09-26 |
1871973370 | Julie Minikowski | Community Health Worker | 207 Milwaukee Avenue, A, Waterford, WI 53185 | 2015-06-01 |
1629235031 | Fluegge Optical | Technician/Technologist | 920 E Main Street, Waterford, WI 53185 | 2008-05-22 |
1659598209 | Julie Michals | Occupational Therapist | 1701 Sharp Road, Waterford, WI 53185 | 2007-04-18 |
1518072768 | Jennifer Jayne Decker | Family Medicine | 818 Forrest Ln, Waterford, WI 53185 | 2006-08-20 |
1215966908 | Amy Beth Flock | Physical Therapy Assistant | 2319 Fox Knoll Dr, Waterford, WI 53185 | 2006-07-03 |
1750762472 | Tesalia R Renteria | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2015-06-18 |
1649651092 | Kathryn C Halyko | Pediatrics | 818 Forest Ln, Waterford, WI 53185 | 2015-06-11 |
1518109735 | Daniel A Allison | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2009-04-02 |
1356456545 | Christine M Dignan | Pediatrics | 818 Forrest Ln, Waterford, WI 53185 | 2006-08-20 |
Find all providers in zip 53185 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
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1972689065 | John Ross Mackinnon | Psychologist | 567 Vauxhall Street Ext Ste 323, Waterford, CT 06385-4341 | 2006-10-31 |
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1225368723 | Colleen A Ryan | Psychologist | N1563 County Road H, Palmyra, WI 53156-9738 | 2010-01-05 |
1548417389 | Nadia S Damm | Psychologist | 10855 W Potter Rd Ste 21, Wauwatosa, WI 53226-3439 | 2008-08-23 |
1720120959 | Advanced Psychological Innovations | Psychologist | 6418 Normandy Ln, Suite 215, Madison, WI 53719-1149 | 2007-02-13 |
1568573715 | Omne Clinic Inc | Psychologist | 233 E La Salle Avenue, Barron, WI 54812 | 2006-08-31 |
1619081437 | Omne Clinic, Inc. | Psychologist | 101 N. Farwell Street, Ste. 204, Eau Claire, WI 54703 | 2006-08-18 |
1548279045 | Dolores Kluppel Vetter | Psychologist | 6401 Odana Rd, Ste A, Madison, WI 53719-1126 | 2006-08-05 |
1316977192 | Tasha Farrar | Psychologist | 3301 N Ballard Rd Ste C, Appleton, WI 54911-9002 | 2006-07-04 |
1962462093 | John M O'donnell | Psychologist | 5225 N Ironwood Ln, Suite # 212, Glendale, WI 53217-4909 | 2006-03-24 |
1215913207 | Phyllis Kasper | Psychologist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2005-12-21 |
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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.