DR. KRISHNA DASGUPTA (NPI# 1568524155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568524155 |
| Entity Type | Individual |
| Full Name | DR. KRISHNA DASGUPTA |
| Credential | MD |
| Practice Address |
12690 W North Ave Brookfield WI 53005 |
| Mailing Address |
12690 W North Avenue Brookfield WI 53005 |
| Practice Telephone | 2627859188 |
| Practice Fax Number | 2627850644 |
| Mailing Telephone | 2627859188 |
| Mailing Fax Number | 2627850644 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
28337 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
12690 W NORTH AVE |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427002211 | Eric D Seybold | Psychologist | 12690 W North Ave, Brookfield, WI 53005-4636 | 2006-05-19 |
| 1376903047 | Maria Byrd | Counselor | 12690 W North Ave, Brookfield, WI 53005-4636 | 2016-02-24 |
| 1134502743 | Sarah Hoerl | Counselor | 12690 W North Ave, Brookfield, WI 53005-4636 | 2015-06-30 |
| 1811378920 | Elizabeth Anne Sawyer | Counselor | 12690 W North Ave, Brookfield, WI 53005-4636 | 2015-06-15 |
| 1538557848 | Russo Dental LLC | Dentist | 12690 W North Ave, Brookfield, WI 53005-4636 | 2015-01-08 |
| 1063811297 | Nicholas Vito Russo | Dentist | 12690 W North Ave, Brookfield, WI 53005-4636 | 2014-08-13 |
| 1073891370 | Elizabeth W Baritt | Counselor | 12690 W North Ave, Brookfield, WI 53005-4636 | 2011-08-03 |
| 1780988667 | Siobhan Megan Mccullough Petrie | Counselor | 12690 W North Ave, Building C, Brookfield, WI 53005-4636 | 2011-01-06 |
| 1396985958 | Mary Sheila Briggs | Social Worker | 12690 W North Ave, Brookfield, WI 53005-4636 | 2009-02-23 |
| 1326286139 | Laura Ann Floyd | Social Worker | 12690 W North Ave, Building C, Brookfield, WI 53005-4636 | 2009-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073713293 | Sheetal Reddy Marri | Psychiatry & Neurology | 5000 Veterans St., Tomah, WI 54660 | 2007-07-25 |
| 1366467714 | Kurapati Bhaskar Reddy | Psychiatry & Neurology | 517 Court St Rm 503, Neillsville, WI 54456-1976 | 2006-07-13 |
| 1033188792 | Anthony J Braus | Psychiatry & Neurology | 5395 E Cheryl Pkwy, Fitchburg, WI 53711-5395 | 2006-03-15 |
| 1811369473 | Shelley Rae Stanton | Psychiatry & Neurology | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2015-10-22 |
| 1003994500 | Noel K Garchitorena | Psychiatry & Neurology | 5900 S Lake Dr, Cudahy, WI 53110 | 2006-11-01 |
| 1154421667 | Timothy Howell | Psychiatry & Neurology | 2500 Overlook Ter, Madison, WI 53705-2254 | 2006-09-24 |
| 1518989748 | Richard Henry Gibson | Psychiatry & Neurology | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-07-24 |
| 1255358073 | Kara E Hayford | Psychiatry & Neurology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-07-16 |
| 1053358788 | Redentor L Galang | Psychiatry & Neurology | 3267 S 16th St, Ohio Building Suite 209, Milwaukee, WI 53215-4500 | 2006-06-01 |
| 1184675266 | Lauren Bern | Psychiatry & Neurology | University of Wisconsin Hospital, 600 Highland Ave H4/831-8320, Madison, WI 53792-0001 | 2006-05-13 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
Please comment or provide details below to improve the information on DR. KRISHNA DASGUPTA.
| 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.