MELISSA S MARQUART-CARLSON (NPI# 1619905577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619905577 |
| Entity Type | Individual |
| Full Name | MELISSA S MARQUART-CARLSON |
| Other Name | MELISSA S MARQUART |
| Credential | PHD |
| Practice Address |
2845 Greenbrier Rd Ste 340 Green Bay WI 54311-6519 |
| Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
| Practice Telephone | 9202888030 |
| Practice Fax Number | 9202888329 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 2560 | WI | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 2560 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RAILROAD | P00460245 | 01 |
| WI | 39149700 | 05 |
| Street Address |
2845 GREENBRIER RD STE 340 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033192943 | Timothy R Cooper | Anesthesiology | 2845 Greenbrier Rd Ste 340, Green Bay, WI 54311-6519 | 2005-11-23 |
| 1467615450 | Xinqian Chen | Physical Medicine & Rehabilitation | 2845 Greenbrier Rd Ste 340, Green Bay, WI 54311-6519 | 2008-07-09 |
| 1366470551 | Danzhu Guo | Physical Medicine & Rehabilitation | 2845 Greenbrier Rd Ste 340, Green Bay, WI 54311-6519 | 2006-06-28 |
| 1104854462 | Ahmet Dervish | Pain Medicine | 2845 Greenbrier Rd Ste 340, Green Bay, WI 54311-6519 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912461385 | We All Rise Counseling Services LLC | Psychologist | 529 S Jefferson St Ste 201, Green Bay, WI 54301-4125 | 2019-01-30 |
| 1457996910 | Jesse Frederick Peterson | Psychologist | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2019-11-08 |
| 1417359324 | Harbor Health and Wellness LLC | Psychologist | 2701 Larsen Rd Ste 216, Green Bay, WI 54303-4863 | 2014-09-23 |
| 1992086748 | Sarah Elisabeth Baumgartner | Psychologist | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2011-09-07 |
| 1942475827 | Jay J Fostner | Psychologist | 130 E Walnut St, #706, Green Bay, WI 54301-4239 | 2008-04-23 |
| 1831229376 | Tara L Robertson | Psychologist | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2007-03-06 |
| 1871693739 | Denver L Johnson | Psychologist | 2900 Saint Anthony Dr, Green Bay, WI 54311-5859 | 2006-09-22 |
| 1023032745 | Irma Catherine Smet | Psychologist | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2006-07-26 |
| 1417972373 | Sarka Evans | Psychologist | 760 Pilgrim Way, Green Bay, WI 54304-5263 | 2006-07-13 |
| 1396770434 | Bruce J. Robertson | Psychologist | 2631 Packerland Dr, Suite 104-c, Green Bay, WI 54313-4130 | 2006-07-11 |
| Find all providers in GREEN BAY | ||||
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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.