DR. MARK POWLESS (NPI# 1780969238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780969238 |
| Entity Type | Individual |
| Full Name | DR. MARK POWLESS |
| Credential | PH.D. |
| Practice Address |
1711 S 11th St Milwaukee WI 53204-3310 |
| Mailing Address |
6850 South Dory Drive Franklin WI 53132 |
| Practice Telephone | 4143839526 |
| Practice Fax Number | 4144692719 |
| Mailing Telephone | 4148281645 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2014-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 380260 | WI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2967-57 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1711 S 11TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53204-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588037147 | Elizabeth J Cramer | Counselor | 1711 S 11th St, Milwaukee, WI 53204-3310 | 2015-11-04 |
| 1447657739 | Gerald L. Ignace Indian Health Center, Inc. | Clinic/Center | 1711 S 11th St, Milwaukee, WI 53204-3310 | 2014-12-02 |
| 1295084341 | Bridget M Costigan | Nurse Practitioner | 1711 S 11th St, Gerald L. Ignace Indian Health Center, Milwaukee, WI 53204-3310 | 2012-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528423290 | Blue Ribbon Healthcare LLC | Health Maintenance Organization | 1743 South1st Street, Milwaukee, WI 53204 | 2015-12-23 |
| 1215336599 | Marsha Vann | Counselor | 1028 N 9th St, Milwaukee, WI 53204 | 2014-08-22 |
| 1891109260 | Melissa Bendever | Counselor | 1111 South 6th Street, Milwaukee, WI 53204 | 2014-06-13 |
| 1942585823 | Theresa Marie Hintze | Counselor | 600 W Virginia Atlas Ste 203, Milwaukee, WI 53204 | 2011-10-11 |
| 1922395151 | Palmas & Ram Rudra LLC | Chiropractor | 1247 S. Cesar E. Chaves Drive, Milwaukee, WI 53204 | 2011-07-08 |
| 1225355183 | Victoria A White | Family Medicine | 16th Street Community Health Center, 1032 S Cesar E. Chavez Drive, Milwaukee, WI 53204 | 2010-04-30 |
| 1174850499 | Dnt Associates Inc. | Dentist | 710 W. Historic Mitchell St., Mitchell Street Dental, Milwaukee, WI 53204 | 2009-11-06 |
| 1851559124 | Michael L Kitzinger | Social Worker | 1201 W Historic Mitchell St, Milwaukee, WI 53204 | 2008-05-23 |
| 1083778781 | Douglas Ralph Higbie | Psychologist | 634 W Mitchell St, Milwaukee, WI 53204 | 2006-12-20 |
| 1013019413 | Romeo C Lo Md | Internal Medicine | 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 | 2006-09-05 |
| Find all providers in zip 53204 | ||||
| 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 | ||||
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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.