BRIAN MICHAEL FLYNN (NPI# 1790021897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790021897 |
Entity Type | Individual |
Full Name | BRIAN MICHAEL FLYNN |
Credential | SAC-IT, APSW |
Practice Address |
600 W Virginia St Suite 203 Milwaukee WI 53204-1500 |
Practice Telephone | 4148314500 |
Practice Fax Number | 4142553451 |
Mailing Telephone | 4148314500 |
Mailing Fax Number | 4142553451 |
Enumeration Date | 2012-12-17 |
Last Update Date | 2012-12-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
16776-130 | WI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538662218 | Brian Joseph Flynn | Licensed Practical Nurse | 2710 W State St, New Castle, PA 16101-8644 | 2018-03-09 |
1720523681 | Brian Joseph Flynn | Nurse Anesthetist, Certified Registered | 1 Genesys Pkwy, Suite 2432, Grand Blanc, MI 48439-8065 | 2017-01-03 |
1548618705 | Brian Michael Flynn | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2016-05-28 |
1184014078 | Brian Flynn | Specialist | 824 Paseo Del Pueblo Norte, Taos, NM 87571-6482 | 2015-01-29 |
1013239920 | Brian Keith Flynn | Pharmacist | 6404 18th Ave, Brooklyn, NY 11204-3729 | 2010-02-18 |
1801090956 | Brian A Flynn | Social Worker | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-06-13 |
1306947718 | Brian Joseph Flynn | Social Worker | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2006-09-26 |
1063433514 | Brian Flynn | Urology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-07-21 |
1518943430 | Brian Flynn | Nurse Anesthetist, Certified Registered | 150 S Warner Rd, Ste 160, King of Prussia, PA 19406-2826 | 2005-12-22 |
Street Address |
600 W VIRGINIA ST SUITE 203 |
City | MILWAUKEE |
State | WI |
Zip Code | 53204-1500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437331410 | Interfaith Older Adult Services, Inc | Case Management | 600 W Virginia St, Suite 300, Milwaukee, WI 53204-1500 | 2007-11-30 |
1881098028 | Mental Health America of Wisconsin | Case Management | 600 W Virginia St, Suite 502, Milwaukee, WI 53204-1500 | 2014-10-17 |
1851718647 | Daniel Ricardo Martinez | Counselor | 600 W Virginia St, Suite 203, Milwaukee, WI 53204-1500 | 2014-03-18 |
1770908485 | Valerie Woods | Counselor | 600 W Virginia St, Suite 500, Milwaukee, WI 53204-1500 | 2014-03-04 |
1902221161 | Anne E Ruiz | Counselor | 600 W Virginia St, Suite 502, Milwaukee, WI 53204-1500 | 2014-02-25 |
1770911869 | Vicki Lynn Spaulding | Counselor | 600 W Virginia St, #203, Milwaukee, WI 53204-1500 | 2013-10-29 |
1912343591 | Brooke A Scholler | Counselor | 600 W Virginia St, Suite 203, Milwaukee, WI 53204-1500 | 2013-05-22 |
1841532165 | Nadia Ann Czarniak | Social Worker | 600 W Virginia St, Suite 203, Milwaukee, WI 53204-1500 | 2013-03-25 |
1972857894 | Christopher John Frakes | Counselor | 600 W Virginia St, Atlas Building, Suite 203, Milwaukee, WI 53204-1500 | 2012-10-30 |
1720331002 | Christina A Wilson | Counselor | 600 W Virginia St, Atlas Building, Suite 204, Milwaukee, WI 53204-1500 | 2012-10-24 |
Find all providers in the same location |
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 | 103TA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841242294 | Jo M Weis | Psychologist | 1155 North Mayfair Road, Behavioral Health Clinic @ Tosa, Milwaukee, WI 53226 | 2006-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023656162 | Dynamic Potential | Psychologist | 316 5th St Ste 2, Racine, WI 53403-4606 | 2019-12-19 |
1932312212 | Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr | Psychologist | 3601 30th Ave Ste 102, Kenosha, WI 53144-1642 | 2007-05-07 |
1154742880 | Larry E Taylor | Psychologist | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2013-12-24 |
1821358185 | Henry Steinberger Phd LLC | Psychologist | 313 Price Pl, Suite 209, Madison, WI 53705-3262 | 2012-05-21 |
1043592173 | Andrew Wesley Kingwell | Psychologist | 500 E Veterans St, Tomah, WI 54660 | 2011-09-14 |
1285960518 | Craig D. Childs | Psychologist | 394 Williamstowne, Suite 202, Delafield, WI 53018-2322 | 2009-10-21 |
1255408811 | Paul F Strand | Psychologist | 130 E Walnut St, Suite 706, Green Bay, WI 54301-4239 | 2006-11-29 |
1114093929 | Fredrick O Beck | Psychologist | 2801 Calumet Dr, Sheboygan, WI 53083-3839 | 2006-11-27 |
1194811034 | Susan L Jungen | Psychologist | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-05 |
1346212545 | Ian R Powell | Psychologist | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2006-02-02 |
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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.