DR. CHRISTOPHER B MERTZ (NPI# 1760556245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760556245 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER B MERTZ |
| Credential | PSYD |
| Practice Address |
203 United Way Frederic WI 54837-8938 |
| Practice Telephone | 7153274402 |
| Practice Fax Number | 7153278509 |
| Mailing Telephone | 7153274402 |
| Mailing Fax Number | 7153278509 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 2640-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39153400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073062808 | Christopher Mertz | Physician Assistant | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2016-09-21 |
| 1730501701 | Christopher Mertz | Social Worker | 920 Broadway Fl 8, New York, NY 10010-8013 | 2014-01-10 |
| 1023280328 | Christopher Macdonald Mertz | Internal Medicine | 250 Pleasant St, Suite 6073, Concord, NH 03301-7539 | 2008-03-26 |
| Street Address |
203 UNITED WAY |
| City | FREDERIC |
| State | WI |
| Zip Code | 54837-8938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538243068 | David A Ammend | Pediatrics | 203 United Way, Frederic, WI 54837-8938 | 2006-10-24 |
| 1568935450 | Ashley A Esanbock | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2019-01-03 |
| 1902310436 | Erica Lumley | Marriage & Family Therapist | 203 United Way, Frederic, WI 54837-8938 | 2017-11-20 |
| 1306372065 | Amanda Finstad | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2017-05-02 |
| 1750758645 | Tammi Tallarico | Nurse Practitioner | 203 United Way, Frederic, WI 54837-8938 | 2015-08-26 |
| 1326428350 | Matthew Michael Meyer | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2015-06-04 |
| 1215344080 | James Tangen-foster | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2014-07-14 |
| 1164762001 | Jennifer Lee Schill | Marriage & Family Therapist | 203 United Way, Frederic, WI 54837-8938 | 2013-02-28 |
| 1356607188 | Melissa Catherine Gendreau | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2012-04-05 |
| 1437329687 | Kira Yanko | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2008-03-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548639636 | Austin Ross | Pharmacist | 201 Oak St West, Frederic, WI 54837 | 2015-09-18 |
| 1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
| 1447497763 | Saint-mark Enterprises 1855 LLC | Durable Medical Equipment & Medical Supplies | 110 E Oak St, Frederic, WI 54837 | 2009-01-08 |
| 1639263221 | Pharmacy Operations Inc | Pharmacy | 110 E Oak Street, Frederic, WI 54837 | 2006-10-03 |
| 1457338139 | Joseph L Marek | Chiropractor | 101 United Way, Frederic, WI 54837 | 2005-12-23 |
| 1669572590 | Steven Richard Tesch | Dentist | 106 S Wisconsin Ave, Frederic, WI 54837-0250 | 2006-09-22 |
| 1306946223 | Bradley Scott Harlander | Dentist | 106 S Wisconsin Ave, Frederic, WI 54837-0250 | 2006-09-22 |
| 1689004426 | Kristina M Thompson | Social Worker | 107 Hope Road West, Frederic, WI 54837-0383 | 2013-11-14 |
| 1588158679 | Hope Road Wellness Center, LLC | Social Worker | 107 Hope Road West, Frederic, WI 54837-0383 | 2018-06-21 |
| 1043499734 | School District of Frederic | Local Education Agency (LEA) | 1437 Clam Falls Dr, Frederic, WI 54837-4547 | 2007-10-30 |
| Find all providers in zip 54837 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578023156 | Midway Clinical Neuropsychologic Institute and Children's Wellness Fou | Clinical Neuropsychologist | 1024 60th Street, Suite 5, Kenosha, WI 53140-4099 | 2019-03-21 |
| 1114449949 | Tobias D Kaemmerer | Clinical Neuropsychologist | 2901 W Kinnickinnic River Pkwy Ste 417, Milwaukee, WI 53215-3660 | 2017-07-13 |
| 1972989804 | Anne L Shandera-ochsner | Clinical Neuropsychologist | 212 11th Street, La Crosse, WI 54601 | 2015-08-03 |
| 1891054441 | Mary Christine Majors | Clinical Neuropsychologist | 625 Wildlife Dr, Fond Du Lac, WI 54937-7708 | 2012-05-16 |
| 1821360199 | Tiffany M Jacobsen | Clinical Neuropsychologist | 2448 S 102nd St Ste 270, Milwaukee, WI 53227-2147 | 2012-02-02 |
| 1861625220 | Rebecca L Torres | Clinical Neuropsychologist | 721 American Ave Ste 406, Waukesha, WI 53188-5071 | 2009-09-01 |
| 1336319979 | Shellie Dee Locke | Clinical Neuropsychologist | 9020 15th Ave, Kenosha, WI 53143-6803 | 2008-03-11 |
| 1538352935 | Robert George Owens | Clinical Neuropsychologist | 2653 Statdust Trail, Verona, WI 53593-9714 | 2007-08-20 |
| 1720278005 | Judith Davis | Clinical Neuropsychologist | 716 Roby Rd, Stoughton, WI 53589 | 2007-08-01 |
| 1821201930 | Bonita P Klein-tasman | Clinical Neuropsychologist | 2441 E Hartford Ave, Garland 210, Milwaukee, WI 53211-3160 | 2007-05-07 |
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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.