DR. KATHLEEN BRODERICK WOODY (NPI# 1568525673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568525673 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN BRODERICK WOODY |
| Credential | PSY.D. |
| Practice Address |
2645 N Mayfair Rd Suite 130 Wauwatosa WI 53226-1304 |
| Practice Telephone | 4142560077 |
| Practice Fax Number | 4142560090 |
| Mailing Telephone | 4142560077 |
| Mailing Fax Number | 4142560090 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2013-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2041-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39707200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134448194 | Kathleen Marie Woody | Registered Nurse | 2910 Crown Canyon Ct, Reno, NV 89503-6819 | 2010-05-28 |
| Street Address |
2645 N MAYFAIR RD SUITE 130 |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184697625 | Andrew C Kim | Internal Medicine | 2645 N Mayfair Rd, #200, Wauwatosa, WI 53226-1304 | 2006-02-07 |
| 1821312059 | Autism Intervention Milwaukee | Community/Behavioral Health | 2645 N Mayfair Rd, Suite 250, Wauwatosa, WI 53226-1304 | 2010-03-17 |
| 1487780334 | Elizabeth Hood | Chiropractor | 2645 N Mayfair Rd, Suite 140, Wauwatosa, WI 53226-1304 | 2007-02-26 |
| 1144310491 | Lula F Reams | Psychologist | 2645 N Mayfair Rd, Suite 120, Wauwatosa, WI 53226-1304 | 2006-10-14 |
| 1154421113 | James Frank Pechloff Jr. | Dentist | 2645 N Mayfair Rd, Suite 240, Wauwatosa, WI 53226 | 2006-09-22 |
| 1700850070 | Samuel H Idarraga | Internal Medicine | 2645 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1304 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447463740 | Wendy J. Freitag | Psychologist | 1200 N Mayfair Rd, Suite 390, Wauwatosa, WI 53226-3283 | 2007-05-07 |
| 1124193065 | Pediatric Psychology Associates LLC | Psychologist | 3636 N 124th St, 3rd Floor, Wauwatosa, WI 53222-2125 | 2006-11-22 |
| 1639112931 | Robert Michael Dries | Psychologist | 8112 W Bluemound Rd, Ste 106, Wauwatosa, WI 53213-3356 | 2006-06-14 |
| 1124087051 | Mary Ann Benavides | Psychologist | 7425 Maple Terrace, Wauwatosa, WI 53213-3154 | 2006-03-20 |
| 1881694701 | Richard August Hohfeler | Psychologist | 10045 W Lisbon Ave, Suite 200, Wauwatosa, WI 53222-2446 | 2005-07-21 |
| 1104357904 | Kathleen L Rivero | Psychologist | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2017-03-23 |
| 1801243175 | Katherine Elizabeth Reiter | Psychologist | 8701 W Watertown Plank Rd, Wauwatosa, WI 53226-3548 | 2016-05-17 |
| 1861622524 | Karyn Lynne Gust-brey | Psychologist | 2380 N 124th St, Suite 101, Wauwatosa, WI 53226-1071 | 2009-07-15 |
| 1457511834 | Lees Psychological Services, Inc. | Psychologist | 601 N 99th St, Suite 307, Wauwatosa, WI 53226-4339 | 2008-06-10 |
| 1427243369 | Tracy Renee Pritzl | Psychologist | 3636 N 124th St, Suite 200, Wauwatosa, WI 53222 | 2007-09-13 |
| Find all providers in WAUWATOSA | ||||
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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.