PSYCHOTHERAPY CENTER OF WAUNAKEE LLC


Address: 110 Baker St Ste C, Waunakee, WI 53597-2707
Phone: 6087129362

PSYCHOTHERAPY CENTER OF WAUNAKEE LLC (NPI# 1578196168) 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) 1578196168
Entity Type Organization
Organization Name PSYCHOTHERAPY CENTER OF WAUNAKEE LLC
Practice Address 110 Baker St Ste C
Waunakee
WI 53597-2707
Mailing Address 928 Lexington Way
Waunakee
WI 53597-2104
Practice Telephone 6087129362
Mailing Telephone 6087129362
Enumeration Date 2020-02-21
Last Update Date 2020-02-21
Authorized Official Name JOHN RAYMOND WEISS (MEMBER)
Authorized Official Telephone 6087129362
Authorized Official Credential MFT-IT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 1922512334 05
WI 1316440910 05

Office Location

Street Address 110 BAKER ST STE C
City WAUNAKEE
State WI
Zip Code 53597-2707

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841689478 Ashley Clemens Marriage & Family Therapist 1108 Stephenson Ln Ste 116, Waunakee, WI 53597 2015-01-20
1821402595 Gualberto Bisquera Mejia Internal Medicine 5936 Hogan Rd, Waunakee, WI 53597 2014-06-20
1972644706 Jill M Mikkelson Chiropractor 1024 Quinn Drive, Waunakee, WI 53597 2007-02-12
1790823409 Linda Anita Ballweg Pharmacist 208 Dorn Dr, Waunakee, WI 53597 2007-02-02
1457431611 Phillip John Bakke Chiropractor 612 East Main Street, Bakke Chiropractic Clinic Sc, Waunakee, WI 53597 2006-10-16
1427007723 Barbara J Schlittler Physician Assistant 1300 S Century Ave, Waunakee, WI 53597 2006-05-06
1750342051 Curtis W Bush Family Medicine 208 S Century St, Waunakee, WI 53597 2006-03-28
1104358282 Stonetree Therapy LLC Marriage & Family Therapist 1108 Stephenson Ln Ste 116, Waunakee, WI 53597 2017-03-29
1578862322 Casey Thompson Optometrist 1300 S Century Ave, Waunakee, WI 53597 2011-03-18
1811020969 Mathew Patrick Herbst Family Medicine 1300 S Century Ave, Waunakee, WI 53597 2007-03-14
Find all providers in zip 53597

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316440910 John Raymond Weiss Marriage & Family Therapist 928 Lexington Way, Waunakee, WI 53597-2104 2018-03-10
1841689478 Ashley Clemens Marriage & Family Therapist 1108 Stephenson Ln Ste 116, Waunakee, WI 53597 2015-01-20
1104358282 Stonetree Therapy LLC Marriage & Family Therapist 1108 Stephenson Ln Ste 116, Waunakee, WI 53597 2017-03-29
1285001677 Christopher Webster Marriage & Family Therapist 1108 Stephenson Ln Ste 116, Waunakee, WI 53597-2282 2015-09-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871105619 Matthew Michael Richard Kobriger Marriage & Family Therapist 1477 S Knowles Ave Suite 120, New Richmond, WI 54017 2020-08-22
1700494473 Kelsey Card Marriage & Family Therapist 702 N Blackhawk Ave Ste 215, Madison, WI 53705-3357 2020-07-20
1376161489 Brenda R Lovick Marriage & Family Therapist 454 E Church Rd, Cambridge, WI 53523-9632 2020-07-06
1922624139 Madeline Shay Marriage & Family Therapist 629 River St Ste C, Belleville, WI 53508-9189 2020-06-23
1437773736 Andrew Clayton Marriage & Family Therapist 440 Science Dr Ste 300, Madison, WI 53711-1064 2020-06-02
1518580638 Caitlin Stark Marriage & Family Therapist 518 Algoma St, Madison, WI 53704-4813 2020-05-22
1366065757 Coltan James Schoenike Marriage & Family Therapist 500 12th Ave W Apt 30, Menomonie, WI 54751-2445 2020-05-20
1154957314 William Jay Blevins Marriage & Family Therapist 2564 Branch St Ste B5, Middleton, WI 53562-2850 2020-03-19
1194355230 Michelle Nicole King Marriage & Family Therapist 757 Martin Ave, Hudson, WI 54016-7762 2020-01-16
1083253074 Fwj Her Marriage & Family Therapist 393 Red Cedar St Ste 3, Menomonie, WI 54751-2267 2019-12-23
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Competitor

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City WAUNAKEE
Zip Code 53597

Improve Information

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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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