ALLIANCE PSYCHOLOGICAL AND FAMILY SERVICES LLC (NPI# 1750314159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750314159 |
| Entity Type | Organization |
| Organization Name | ALLIANCE PSYCHOLOGICAL AND FAMILY SERVICES LLC |
| Practice Address |
3601 30th Ave Ste. Ll1 Kenosha WI 53144-1695 |
| Practice Telephone | 2626579777 |
| Practice Fax Number | 2626579785 |
| Mailing Telephone | 2626579777 |
| Mailing Fax Number | 2626579785 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2012-12-12 |
| Authorized Official Name | MR. EDWARD J DONNER (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2626579777 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2142057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39755100 | 05 |
| Street Address |
3601 30TH AVE STE. LL1 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53144-1695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962493635 | Mary Jamie Cairo | Nurse Practitioner | 3601 30th Ave, Ste 203, Kenosha, WI 53144-1695 | 2005-11-02 |
| 1902341548 | Blossom Chiropractic and Natural Medicine | Chiropractor | 3601 30th Ave, Suite 101, Kenosha, WI 53144-1695 | 2017-01-05 |
| 1548716533 | Forefront Dermatology, S.c. | Dermatology | 3601 30th Ave, Suite 201, Kenosha, WI 53144 | 2016-08-30 |
| 1578961181 | Mary C Girsh-jensen | Counselor | 3601 30th Ave, Suite 102, Kenosha, WI 53144-1695 | 2014-12-12 |
| 1972938173 | Jennifer M Rolfing | Physical Therapist | 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 | 2013-09-06 |
| 1396186045 | Chad T Mikesell | Physical Therapist | 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 | 2013-07-10 |
| 1447500814 | Jena Lynn Delisle | Physical Therapist | 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 | 2012-09-13 |
| 1801151212 | Jenna M Sherman | Specialist/Technologist | 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 | 2012-07-11 |
| 1003184003 | Lindsay B. Nehls | Physical Therapist | 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 | 2011-12-05 |
| 1104151406 | Karen Beth Wahlgren | Occupational Therapist | 3601 30th Ave, Suite 103, Kenosha, WI 53144-1695 | 2009-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1881250256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3621 Market Lane, Kenosha, WI 53144 | 2019-05-11 |
| 1124540067 | Kaitlyn King | Speech-Language Pathologist | 5219 88th Ave., Kenosha, WI 53144 | 2017-07-12 |
| 1174992721 | Claire Ann Adams | Acupuncturist | 5416 52nd Street, Kenosha, WI 53144 | 2015-09-24 |
| 1285017087 | Jessica Lynn Gillengerten | Acupuncturist | 4235 Green Bay Rd., Suite #10, Kenosha, WI 53144 | 2015-06-30 |
| 1750704656 | Amanda Kay Kreuzer | Occupational Therapy Assistant | 3109 30th Ave, Kenosha, WI 53144 | 2014-01-28 |
| 1841626785 | B7 Pharmacy Inc | Pharmacy | 3825 39th Ave Ste 100, Kenosha, WI 53144 | 2013-09-24 |
| 1124326764 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3710 57th Ave, Kenosha, WI 53144 | 2011-03-07 |
| 1982931291 | Roman Bilak | General Practice | 4126 - 7th Street, Kemosha, WI 53144 | 2009-11-06 |
| Find all providers in zip 53144 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558619379 | Leah J Featherstone | Psychologist | 2108-63 Street, Kenosha, WI 53143-4454 | 2012-08-28 |
| 1336412360 | Kristin M Keeler, S.c | Psychologist | 4217 Green Bay Rd, Kenosha, WI 53144-4518 | 2012-02-22 |
| 1497957724 | Janice Alberdiena Vanniel | Psychologist | 7807 15th Ave, Kenosha, WI 53143-5913 | 2007-05-31 |
| 1821345372 | Dana Michelle Ballewske | Psychologist | 2108 63rd St, Kenosha, WI 53143-4454 | 2012-08-14 |
| 1124213954 | Michael Matthew Mihajlovic | Psychologist | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2007-09-14 |
| 1487868584 | Kristin Marie Keeler | Psychologist | 5024 Green Bay Rd, Suite 120, Kenosha, WI 53144-1702 | 2007-05-09 |
| 1780769810 | Verna F. Christy | Psychologist | 5017 Green Bay Rd Ste 130, Kenosha, WI 53144-1782 | 2006-10-26 |
| 1467537423 | Debra Johansen | Psychologist | 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2926 | 2006-10-26 |
| 1952482267 | Leesa Marie Wiedholz-abbott | Psychologist | 3734 7th Ave, Suite 12, Kenosha, WI 53140-5525 | 2006-10-17 |
| 1649291923 | Kalpana Rao | Psychologist | 6123 Green Bay Rd, Kenosha, WI 53142-2927 | 2006-07-21 |
| Find all providers in KENOSHA | ||||
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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.