CLEAR DIRECTION PSYCHOLOGICAL SERVICES, INC.


Address: 6110 N Port Washington Rd, Glendale, WI 53217-4308
Phone: 4143323390

CLEAR DIRECTION PSYCHOLOGICAL SERVICES, INC. (NPI# 1558586016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558586016
Entity Type Organization
Organization Name CLEAR DIRECTION PSYCHOLOGICAL SERVICES, INC.
Practice Address 6110 N Port Washington Rd
Glendale
WI 53217-4308
Practice Telephone 4143323390
Practice Fax Number 4143323392
Mailing Telephone 4143323390
Mailing Fax Number 4143323392
Enumeration Date 2007-04-17
Last Update Date 2013-04-18
Authorized Official Name FRANK URTZ (PRESIDENT)
Authorized Official Telephone 4143323390
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
WI Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI VALUEOPTIONS PROVIDER 157211 01
WI 39020900 05
WI BLUE CROSS BLUE SHIELD V543N 01
WI MANAGED HEALTH NETWORK 166708 01
WI AETNA PROVIDER NUMBER 4017291 01

Office Location

Street Address 6110 N PORT WASHINGTON RD
City GLENDALE
State WI
Zip Code 53217-4308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932146172 Diane Marie Mosnik Clinical Neuropsychologist 6110 N Port Washington Rd, Glendale, WI 53217-4308 2006-05-31
1902317993 Cheryl Ann Honeycutt Registered Nurse 6110 N Port Washington Rd, Glendale, WI 53217-4308 2017-10-17
1770012056 Strong Home Care and Companions Home Health 6110 N Port Washington Rd, Suite 3, Glendale, WI 53217 2017-06-08
1205388600 Kate Halbach Counselor 6110 N Port Washington Rd, Glendale, WI 53217-4308 2016-11-01
1013369271 Rebecca Zimmermann Counselor 6110 N Port Washington Rd, Glendale, WI 53217-4308 2016-07-11
1982000758 Medical Psychology Associates Psychologist 6110 N Port Washington Rd, Glendale, WI 53217-4308 2014-11-06
1477871267 Janet Helen Mcclintock Counselor 6110 N Port Washington Rd, Glendale, WI 53217-4308 2010-05-04
1902093289 The Cambridge Group Community/Behavioral Health 6110 N Port Washington Rd, Glendale, WI 53217-4308 2007-10-01
1245425354 Neurobehavioral Health Clinic Psychologist 6110 N Port Washington Rd, Glendale, WI 53217-4308 2007-09-11
1780892026 Marty Sapp Psychologist 6110 N Port Washington Rd, Glendale, WI 53217-4308 2007-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922632587 Jasmine Dockery Pharmacist 5400 N Port Washington, Glendale, WI 53217 2020-02-23
1174017339 North Lakes Nursing Home Health Care Agency LLC Home Health 225 E Fairmount Ave, Milwaukee, WI 53217 2018-06-20
1083140289 Miriah Ann King, Ms, Lpc Counselor 7805 North Boyd Way, Fox Point, WI 53217 2017-05-08
1245783067 Lakesha L Jones Counselor 5235 N Ironwood Rd, Glendale, WI 53217 2016-07-28
1750783312 Ibrahim S Abouzeid Specialist/Technologist, Other 333 W Brown Deer Road, #240, Milwaukee, WI 53217 2014-09-25
1255733598 Victoria Gorodetsky Pharmacist 229 W Indian Creek Ct, Milwaukee, WI 53217 2014-09-18
1174800049 John Herman Esser Internal Medicine 1050 W Acacia Rd, Milwaukee, WI 53217 2011-11-07
1710298351 Leann M Harman Physical Therapist 5333 N Port Washington Rd Ste B, Glendale, WI 53217 2010-06-29
1306012455 Emily Marie Gallagher Speech-Language Pathologist 6700 N. Port Washington Road, Milwaukee, WI 53217 2008-05-07
1164625455 Mary Catherine Enderlin Psychologist 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 2007-06-06
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1174728646 Terros Inc Clinic/Center 6151-6153 W Olive Ave, Glendale, AZ 85302-4598 2007-06-15
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1457918526 Growth Space, Pllc Clinic/Center 19201 N 45th Dr, Glendale, AZ 85308-5415 2019-05-23
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Competitor

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City GLENDALE
Zip Code 53217

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Dataset Information

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.

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