MONICA ANN PEDRAZA (NPI# 1801100730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801100730 |
Entity Type | Individual |
Full Name | MONICA ANN PEDRAZA |
Credential | MS, LPC, SAC-IT |
Practice Address |
2424 S 90th St 502 Milwaukee WI 53227-2455 |
Mailing Address |
1220 Dewey Ave Wauwatosa WI 53213-2504 |
Practice Telephone | 4143295657 |
Practice Fax Number | 4143295637 |
Mailing Telephone | 4144546779 |
Enumeration Date | 2010-08-03 |
Last Update Date | 2014-06-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16804-130 | WI | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
5270-125 | WI | Behavioral Health & Social Service Providers |
Street Address |
2424 S 90TH ST 502 |
City | MILWAUKEE |
State | WI |
Zip Code | 53227-2455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154565273 | Samuel James Otto | Urology | 2424 S 90th St, Suite 408, Milwaukee, WI 53227-2455 | 2009-04-21 |
1992842272 | Mark A Girzadas | Internal Medicine | 2424 S 90th St, Milwaukee, WI 53227-2455 | 2007-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
Find all providers in zip 53227 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508475963 | Anna Banwell | Counselor | 710 W Historic Mitchell St Apt 703, Milwaukee, WI 53204-3559 | 2020-07-30 |
1225658826 | Callie Barfield | Counselor | 9096 N Tennyson Dr, Milwaukee, WI 53217-1967 | 2020-04-23 |
1043849698 | Amanda Joann Degner | Counselor | 329 W National Ave Apt 2, Milwaukee, WI 53204-1702 | 2020-04-06 |
1467092320 | Christina Manolatos | Counselor | 3921 N Humboldt Blvd Apt 801, Milwaukee, WI 53212-1365 | 2020-01-08 |
1780235267 | Toni W Pharm | Counselor | 8018 W Capitol Dr Ste 206, Milwaukee, WI 53222-1906 | 2019-09-25 |
1407417983 | Damira Grady | Counselor | 11303 W Appleton Ln, Milwaukee, WI 53225-1200 | 2019-06-25 |
1265091664 | Drew David Dryssen | Counselor | 8800 W Bluemound Rd, Milwaukee, WI 53226-4626 | 2019-06-10 |
1013574409 | Patricia Michelle Carrington | Counselor | 1409 E Capitol Dr Ste 202, Milwaukee, WI 53211-1959 | 2019-05-22 |
1730647959 | Andrea Renee Zulkowski | Counselor | 3732 W Wisconsin Ave Ste 320, Milwaukee, WI 53208-3166 | 2019-03-06 |
1831662063 | Svenja Michela Rauchstaedt-schneider | Counselor | 5719 W Fountain Ave, Milwaukee, WI 53223-4227 | 2019-01-10 |
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.