DR. MARTY SAPP (NPI# 1780892026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780892026 |
| Entity Type | Individual |
| Full Name | DR. MARTY SAPP |
| Credential | ED.D. |
| Practice Address |
6110 N Port Washington Rd Glendale WI 53217-4308 |
| Practice Telephone | 4142296347 |
| Practice Fax Number | 4142294939 |
| Mailing Telephone | 4142296347 |
| Mailing Fax Number | 4142294939 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1404-057 | WI | Behavioral Health & Social Service Providers |
| Street Address |
6110 N PORT WASHINGTON RD |
| City | GLENDALE |
| State | WI |
| Zip Code | 53217-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932146172 | Diane Marie Mosnik | Clinical Neuropsychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2006-05-31 |
| 1902317993 | Cheryl Ann Honeycutt | Registered Nurse | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2017-10-17 |
| 1770012056 | Strong Home Care and Companions | Home Health | 6110 N Port Washington Rd, Suite 3, Glendale, WI 53217 | 2017-06-08 |
| 1205388600 | Kate Halbach | Counselor | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2016-11-01 |
| 1013369271 | Rebecca Zimmermann | Counselor | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2016-07-11 |
| 1982000758 | Medical Psychology Associates | Psychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2014-11-06 |
| 1477871267 | Janet Helen Mcclintock | Counselor | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2010-05-04 |
| 1902093289 | The Cambridge Group | Community/Behavioral Health | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2007-10-01 |
| 1245425354 | Neurobehavioral Health Clinic | Psychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2007-09-11 |
| 1558586016 | Clear Direction Psychological Services, Inc. | Clinic/Center | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
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|---|---|---|---|---|
| 1508401266 | Patricia Lavallee | Psychologist | 6128 W Mcrae Way, Glendale, AZ 85308-7635 | 2019-11-16 |
| 1831422930 | Jeanette I Lantz | Psychologist | 601 E. Glenoaks Blvd, Suite 102, Glendale, CA 91207 | 2009-09-09 |
| 1962462093 | John M O'donnell | Psychologist | 5225 N Ironwood Ln, Suite # 212, Glendale, WI 53217-4909 | 2006-03-24 |
| 1295805133 | Mike Tamassian | Psychologist | 1101 N Pacific Ave, 204, Glendale, CA 91202-3250 | 2006-11-08 |
| 1912093162 | Frank Paul Urtz | Psychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2006-10-05 |
| 1700893336 | Marylin Calzadilla | Psychologist | 1530 E Chevy Chase Dr, Suite 204, Glendale, CA 91206-4163 | 2006-08-03 |
| 1467490987 | Patricia K Masuda-story | Psychologist | 100 N Brand Blvd, Suite 316, Glendale, CA 91203-2641 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386109924 | Rebecca Timmins | Psychologist | 231 9th St, Menasha, WI 54952-2266 | 2019-02-07 |
| 1225368723 | Colleen A Ryan | Psychologist | N1563 County Road H, Palmyra, WI 53156-9738 | 2010-01-05 |
| 1548417389 | Nadia S Damm | Psychologist | 10855 W Potter Rd Ste 21, Wauwatosa, WI 53226-3439 | 2008-08-23 |
| 1720120959 | Advanced Psychological Innovations | Psychologist | 6418 Normandy Ln, Suite 215, Madison, WI 53719-1149 | 2007-02-13 |
| 1568573715 | Omne Clinic Inc | Psychologist | 233 E La Salle Avenue, Barron, WI 54812 | 2006-08-31 |
| 1619081437 | Omne Clinic, Inc. | Psychologist | 101 N. Farwell Street, Ste. 204, Eau Claire, WI 54703 | 2006-08-18 |
| 1548279045 | Dolores Kluppel Vetter | Psychologist | 6401 Odana Rd, Ste A, Madison, WI 53719-1126 | 2006-08-05 |
| 1316977192 | Tasha Farrar | Psychologist | 3301 N Ballard Rd Ste C, Appleton, WI 54911-9002 | 2006-07-04 |
| 1215913207 | Phyllis Kasper | Psychologist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2005-12-21 |
| 1922441195 | Medical Mobile Specialists S.c. | Psychologist | 347 Park Ave, Pewaukee, WI 53072-3413 | 2013-04-08 |
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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.