MILWAUKEE PSYCHOTHERAPY COLLABORATIVE (NPI# 1760992788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760992788 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE PSYCHOTHERAPY COLLABORATIVE |
| Practice Address |
9120 W Hampton Ave Ste 212 Milwaukee WI 53225-4960 |
| Practice Telephone | 4143679413 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |
| Authorized Official Name | DR. DAVID BRIAN SMOTHERS (OWNER) |
| Authorized Official Telephone | 4143679413 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC1900X |
Psychologist Specialization: Counseling |
303957 | WI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2973 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100046393 | 05 | |
| WI | 43599400 | 05 |
| Street Address |
9120 W HAMPTON AVE STE 212 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53225-4960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174839294 | Rebecca Marie Flegner | Psychologist | 9120 W Hampton Ave Ste 212, Milwaukee, WI 53225-4960 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194088682 | Waulonda Renee Williams | Registered Nurse | 5847 North 91st Street, Milwaukee, WI 53225 | 2012-06-19 |
| 1447519152 | Sandy Xiong | Licensed Practical Nurse | 5656 N 86th Place, Milwaukee, WI 53225 | 2012-05-15 |
| 1992939292 | Marzie Lee Satterwhite | Physical Therapy Assistant | 8534 W Mill Road, Milwaukee, WI 53225 | 2009-05-14 |
| 1538319157 | Katherine Monica Block | Speech-Language Pathologist | 5015 N. 106th St., Milwaukee, WI 53225 | 2008-09-19 |
| 1932329992 | Jennifer Marie Eggert | Speech-Language Pathologist | 9688 W Appleton Ave, Milwaukee, WI 53225 | 2007-05-01 |
| 1396830501 | Milwaukee Pain Treatment Services Sc | Anesthesiology | 5400 N 118th Court, Milwaukee, WI 53225 | 2006-10-04 |
| 1962518050 | Kenneth John Kowalski | Dentist | 4878 N Swan Road, Milwaukee, WI 53225 | 2006-08-22 |
| 1447290325 | Catherine Mae Jenkins | Registered Nurse | 5650 North 97th Street, Milwaukee, WI 53225 | 2006-06-07 |
| 1942249578 | David Irving Stein | Specialist | 5400 N 118tth Court, Milwaukee, WI 53225 | 2006-06-06 |
| 1720057482 | Herslof's, Inc | Optometrist | 12000 W Carmen Ave, Milwaukee, WI 53225 | 2006-03-15 |
| Find all providers in zip 53225 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295863 | Emotive Action Counseling Services LLC | Psychologist | 9235 W Capitol Dr Ste 402, Milwaukee, WI 53222-1567 | 2020-11-05 |
| 1023673563 | Robert E Young | Psychologist | 735 N Water St Ste 712, Milwaukee, WI 53202-4104 | 2019-05-09 |
| 1265900922 | Jamal Rashad Cunningham | Psychologist | 1845 N Farwell Ave Ste 303b, Milwaukee, WI 53202-1715 | 2018-11-10 |
| 1518433978 | Caroline Elizabeth Engler | Psychologist | 2847 S Clement Ave, Milwaukee, WI 53207-2228 | 2018-10-23 |
| 1598231102 | Therese Borges | Psychologist | 3127 S Brisbane Ave, Milwaukee, WI 53207-2605 | 2018-10-22 |
| 1346720760 | Kelly Schuder | Psychologist | 5000 W National Ave # B1113c, Milwaukee, WI 53295-0001 | 2018-08-15 |
| 1255831954 | Hether Renee Cook | Psychologist | 5000 W National Ave Dept 3c, Milwaukee, WI 53295-0001 | 2018-02-19 |
| 1053811331 | New Insights LLC | Psychologist | 1845 N Farwell Ave Ste 104, Milwaukee, WI 53202-1715 | 2018-02-13 |
| 1134575236 | Latoya K Williams | Psychologist | 9235 W Capitol Dr Unit 402, Milwaukee, WI 53222-1567 | 2016-05-06 |
| 1306217492 | Paul Florsheim | Psychologist | 4105 N Farwell Ave, Milwaukee, WI 53211-1754 | 2015-10-14 |
| Find all providers in MILWAUKEE | ||||
Please comment or provide details below to improve the information on MILWAUKEE PSYCHOTHERAPY COLLABORATIVE.
| 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.