VICTORIA SEPULVEDA, PHD, LLC (NPI# 1548659618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548659618 |
| Entity Type | Organization |
| Organization Name | VICTORIA SEPULVEDA, PHD, LLC |
| Other Organization Name | BECKER-GIBEAU PSYCHOLOGICAL SERVICES |
| Practice Address |
14135 N Cedarburg Rd Mequon WI 53097-1416 |
| Practice Telephone | 2623772006 |
| Practice Fax Number | 2623775552 |
| Mailing Telephone | 2623772006 |
| Mailing Fax Number | 2623775552 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-14 |
| Authorized Official Name | DR. VICTORIA IRENE MILLER SEPULVEDA (COUNSELOR) |
| Authorized Official Telephone | 4193775836 |
| Authorized Official Credential | PH.D., LPC, CSAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 5482-125 | WI | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15861-132 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
5482-125 | WI | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Becker-Gibeau Psychological Services | Other Name - Individual/Organization |
| Street Address |
14135 N CEDARBURG RD |
| City | MEQUON |
| State | WI |
| Zip Code | 53097-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942219589 | Heather A Byrne | Psychologist | 14135 N Cedarburg Rd, # 203, Mequon, WI 53097-1416 | 2006-08-05 |
| 1013516905 | Jmd, Psychology, LLC | Psychologist | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2020-10-21 |
| 1114539061 | Casey Mccarragher LLC | Community/Behavioral Health | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2020-08-21 |
| 1447884721 | Jessica Wolfe | Social Worker | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2020-02-26 |
| 1386278661 | Jessica Wolfe, Lcsw, LLC | Social Worker | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2020-02-26 |
| 1205490844 | Angela C. Stanley, Psy.d. Psychological Services LLC | Psychologist | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2019-04-29 |
| 1861958993 | Andrea P Janis-towey Psychological Services LLC | Clinic/Center | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2019-02-13 |
| 1467923474 | Brian M. Fidlin Psychological Services | Clinic/Center | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2018-12-17 |
| 1528539657 | Melissa L Del Rosario LLC | Clinic/Center | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2018-12-16 |
| 1649784638 | Brewer Counseling and Wellness | Psychologist | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2017-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851512982 | Wendy S Balister | Dietitian, Registered | 13111 North Port Washington Rd, Mequon, WV 53097 | 2007-05-02 |
| 1902985922 | Lisa Lang | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2006-11-02 |
| 1003915570 | Joan T Gnadt | Internal Medicine | 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 | 2006-09-21 |
| 1255439097 | Susan J Riegg | Pathology | 13111 N Port Washington Road, Mequon, WI 53097 | 2006-09-20 |
| 1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
| 1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
| 1548204712 | Lauretta Lyon Schears | Occupational Therapist | 13111 N. Portwashington Rd, Mequon, WI 53097 | 2006-06-16 |
| 1235173337 | Sarah Marie Neman | Physical Therapy Assistant | 13111 N Prot Washington Rd., Mequon, WI 53097 | 2006-06-16 |
| 1538103643 | Elizabeth Gral Sullivan | Speech-Language Pathologist | 13111 North Port Washington Road, Mequon, WI 53097 | 2006-06-16 |
| 1952808701 | Lisa Lang LLC | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2018-04-09 |
| Find all providers in zip 53097 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580871 | Navigate Wellness Health Group, LLC | Counselor | 11520 N Port Washington Rd Ste 101b, Mequon, WI 53092-3432 | 2019-10-28 |
| 1083187058 | Mosaic Counseling, LLC | Counselor | 11649 N Port Washington Rd Ste 225, Mequon, WI 53092-3461 | 2019-01-02 |
| 1013407998 | Sarah Francis Schneider | Counselor | 1001 W Glen Oaks Ln Ste 245, Mequon, WI 53092-3369 | 2018-05-16 |
| 1225540610 | Tricia Lynn Damm | Counselor | 10144 N Port Washington Rd Ste Ll-c, Mequon, WI 53092-5796 | 2017-10-25 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1316381510 | Kirstin E Meyer | Counselor | 11649 N Port Washington Rd Ste 201, Mequon, WI 53092-3459 | 2013-04-18 |
| 1033411939 | Jason Stuart Kantrowitz | Counselor | 10042 N. Brookdale Dr., Mequon, WI 53092-5702 | 2010-11-27 |
| 1457569147 | Gisela P Berger | Counselor | 4313 W Marseilles Dr, Mequon, WI 53092-1173 | 2007-05-18 |
| 1073644654 | Ruth Leona Seider | Counselor | 1414 W Homestead Trl, Mequon, WI 53092-3215 | 2007-03-08 |
| 1902985179 | Vladislav Solc | Counselor | 10500 N Port Washington Rd, Mequon, WI 53092-5585 | 2006-11-06 |
| Find all providers in MEQUON | ||||
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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.