CENTER FOR BEHAVIORAL MEDICINE, SC (NPI# 1578515417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578515417 |
| Entity Type | Organization |
| Organization Name | CENTER FOR BEHAVIORAL MEDICINE, SC |
| Practice Address |
250 N Sunny Slope Rd Suite 128 Brookfield WI 53005-4809 |
| Practice Telephone | 2627822820 |
| Practice Fax Number | 2627826937 |
| Mailing Telephone | 2627822820 |
| Mailing Fax Number | 2627826937 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NEAL MOGLOWSKY (VICE-PRESIDENT) |
| Authorized Official Telephone | 2627822820 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42241600 | 05 |
| Street Address |
250 N SUNNY SLOPE RD SUITE 128 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548250376 | Neal Ethan Moglowsky | Counselor | 250 N Sunny Slope Rd, Suite 128, Brookfield, WI 53005-4809 | 2005-10-24 |
| 1437509767 | Megan Schiferl | Counselor | 250 N Sunny Slope Rd, Suite 203, Brookfield, WI 53005-4809 | 2016-06-17 |
| 1174791651 | Abc Home Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 250 N Sunny Slope Rd, Ste 300, Brookfield, WI 53005-4809 | 2008-02-18 |
| 1730236977 | Phyllis Terry Eisenberg II | Counselor | 250 N Sunny Slope Rd, Suite 290, Brookfield, WI 53005-4809 | 2007-01-03 |
| 1497839922 | Maria Christine Erdmann | Counselor | 250 N Sunny Slope Rd, Suite 128, Brookfield, WI 53005-4809 | 2006-10-24 |
| 1902910607 | Laura Charlene Liguori | Psychologist | 250 N Sunny Slope Rd, Suite 290, Brookfield, WI 53005-4809 | 2006-08-18 |
| 1750301727 | Charlene A Carter | Psychologist | 250 N Sunny Slope Rd, Suite 290, Brookfield, WI 53005-4809 | 2006-07-20 |
| 1669454088 | Kimberly R. Skerven | Psychologist | 250 N Sunny Slope Rd, Ste. 128, Brookfield, WI 53005-4809 | 2005-11-20 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942660600 | Allison Sidel | Psychologist | 304 Federal Rd Ste 301, Brookfield, CT 06804-2423 | 2016-02-24 |
| 1568784114 | Rebecca Lynn Thompson | Psychologist | 150 N Sunny Slope Rd, Suite #100, Brookfield, WI 53005-4806 | 2010-02-24 |
| 1861602609 | Douglas Eugene Scarth | Psychologist | 2 Old New Milford Rd Ste 1e, Brookfield, CT 06804-2426 | 2007-05-23 |
| 1932255833 | Henry Barron | Psychologist | 2224 Twin Pond Rd, Brookfield, VT 05036-9540 | 2007-01-25 |
| 1669537015 | Lynne Berendsen | Psychologist | 13035 W Bluemound Rd, Suite 100, Brookfield, WI 53005-8001 | 2006-12-26 |
| 1356401475 | Howard Joel Haven | Psychologist | 12690 W North Avenue, Elmbrook Family Counseling Center, Brookfield, WI 53005 | 2006-12-11 |
| 1922172634 | Judy A Eager | Psychologist | 13965 W Burleigh Rd, Suite 203, Brookfield, WI 53005-3064 | 2006-11-17 |
| 1649361775 | Kim Marie Gorecki | Psychologist | 19275 W Capitol Dr Ste 200, Brookfield, WI 53045-2734 | 2006-09-27 |
| 1427002211 | Eric D Seybold | Psychologist | 12690 W North Ave, Brookfield, WI 53005-4636 | 2006-05-19 |
| 1194230599 | Jacquelyn Bogdanov | Psychologist | 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 | 2017-12-06 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
Please comment or provide details below to improve the information on CENTER FOR BEHAVIORAL MEDICINE, SC.
| 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.