MRS. TINA MARIE OTTMAN-BOYKIN


Address: 2801 Calumet Drive, Sheboygan, WI 53083
Phone: 9204516908

MRS. TINA MARIE OTTMAN-BOYKIN (NPI# 1760595300) 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) 1760595300
Entity Type Individual
Full Name MRS. TINA MARIE OTTMAN-BOYKIN
Other Name MISS TINA MARIE OTTMAN
Credential MSE LCSW LPC NCC
Practice Address 2801 Calumet Drive
Sheboygan
WI 53083
Practice Telephone 9204516908
Practice Fax Number 9204586439
Mailing Telephone 9204516908
Mailing Fax Number 9204586439
Enumeration Date 2006-08-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YP2500X Counselor
Specialization: Professional
1568125 WI Behavioral Health & Social Service Providers
X 1041C0700X Social Worker
Specialization: Clinical
2886123 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39744000 05
NBCC 38798 01
CHAMPUS TRICARE 138002 01

Office Location

Street Address 2801 CALUMET DRIVE
City SHEBOYGAN
State WI
Zip Code 53083

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518024058 Audrey Lorraine Aardappel Social Worker 2801 Calumet Drive, Sheboygan, WI 53083 2007-01-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629341748 Wendy Marie Kirst Licensed Practical Nurse 2639 North 9th Street, Sheboygan, WI 53083 2012-02-21
1194912493 Assisted Living Concepts Inc Assisted Living Facility 1231 Eisner Avenue, Sheboygan, WI 53083 2007-10-01
1629265350 David P Mayer Dentist 2705 N 8th Street, Sheboygan, WI 53083 2007-09-26
1760683510 Ginger Adams Physical Therapy Assistant 3431 North 13th Street, Sheboygan, WI 53083 2007-05-30
1295947778 Jodi Lynn Wagner Occupational Therapist 2629 North 7th Street, Sheboygan, WI 53083 2007-05-04
1306067491 School District of Howards Grove Local Education Agency (LEA) 403 Audubon Road, Howards Grove, WI 53083 2007-05-02
1902023955 Aurora Health Care Central, Inc. Community/Behavioral Health 2629 N 7th St., Sheboygan, WI 53083 2007-04-19
1497860498 Charles J Gehring Jr. Anesthesiology 4945 Blackstock Rd, Sheboygan, WI 53083 2006-08-20
1588043186 Abby M Safranski Family Medicine 620 S Wisconsin Dr, Howards Grove, WI 53083 2015-05-28
1174901615 Adeel Pervez Internal Medicine 2629 N 7th St, Sheboygan, WI 53083 2015-05-17
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942611579 Jennifer Katherine Miller Counselor 710 Pennsylvania Ave, Sheboygan, WI 53081-4645 2014-05-16
1114340361 Jamie Cops Counselor 615 S 8th St Ste 210, Sheboygan, WI 53081-4468 2014-01-23
1902148059 Elizabeth Louise Heitzmann Counselor 1226 N 8th St Ste 103, Sheboygan, Sheboygan, WI 53081-3404 2013-03-26
1700148640 Amanda Kate Schroeder Counselor 510 S 8th Street, Sheboygan, WI 53081-4006 2012-06-15
1306086962 Gerri Lynn Olson Counselor 706 N 9th St, Sheboygan, WI 53081-4516 2009-02-23
1336328517 Laura Lee Turpin Counselor 1721 Saemann Avenue, Sheboygan, WI 53081-2341 2007-10-24
1376582312 Carol Sherman Haid Counselor 833 Pennsylvania Ave, Suite 103, Sheboygan, WI 53081-4452 2006-06-05
1114905668 Christine Ann Jenkins Counselor 615 N 6th St, Sheboygan, WI 53081-4612 2006-01-05
1629054093 Jeffrey T Kroening Counselor 3425 Superior Ave, Sheboygan, WI 53081-1863 2005-12-19
1861007098 Rachael Sass Counselor 1721 Saemann Ave, Sheboygan, WI 53081-2342 2020-09-14
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Competitor

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City SHEBOYGAN
Zip Code 53083

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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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