TARA L ROBERTSON (NPI# 1831229376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831229376 |
| Entity Type | Individual |
| Full Name | TARA L ROBERTSON |
| Credential | MS.,PSYD |
| Practice Address |
301 E Saint Joseph St Green Bay WI 54301-2241 |
| Practice Telephone | 9204333630 |
| Mailing Telephone | 9204333630 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2010-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2750 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1831229376 | 05 | |
| WI | 43596700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487011235 | Tara E Robertson | Specialist | 35 Woodbury Rd, Farmingville, NY 11738-2318 | 2016-01-25 |
| 1679069561 | Tara A. Robertson | Nurse Practitioner | 15 Valley Dr Ste 200, Greenwich, CT 06831 | 2018-07-03 |
| 1104204122 | Tara Robertson | Nurse Practitioner | 1 Dot Way, Mount Sterling, IL 62353-1664 | 2015-05-11 |
| Street Address |
301 E SAINT JOSEPH ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790775450 | Derek Carl Carlson | Psychiatry & Neurology | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2005-10-25 |
| 1407486541 | Gabrielle Cassandra Jochman | Social Worker | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2020-01-16 |
| 1457996910 | Jesse Frederick Peterson | Psychologist | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2019-11-08 |
| 1528500626 | Yasleny Rodriguez-castillo | Nurse Practitioner | 301 E Saint Joseph St, Green Bay, WI 54301 | 2016-11-07 |
| 1992156210 | Kari Lynn Mahlik | Nurse Practitioner | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2016-06-28 |
| 1710357900 | Erika Susanne Mangin | Registered Nurse | 301 E Saint Joseph St, Green Bay, WI 54301 | 2015-09-30 |
| 1972970572 | Kim Marie Smith | Counselor | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2015-08-31 |
| 1104200286 | Meghan A Thompson | Counselor | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2015-07-17 |
| 1720497118 | Mary Jo Vanden Wymelenberg | Counselor | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2014-08-11 |
| 1811308836 | Ainsley E. Blum | Counselor | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2014-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912461385 | We All Rise Counseling Services LLC | Psychologist | 529 S Jefferson St Ste 201, Green Bay, WI 54301-4125 | 2019-01-30 |
| 1457996910 | Jesse Frederick Peterson | Psychologist | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2019-11-08 |
| 1417359324 | Harbor Health and Wellness LLC | Psychologist | 2701 Larsen Rd Ste 216, Green Bay, WI 54303-4863 | 2014-09-23 |
| 1992086748 | Sarah Elisabeth Baumgartner | Psychologist | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2011-09-07 |
| 1942475827 | Jay J Fostner | Psychologist | 130 E Walnut St, #706, Green Bay, WI 54301-4239 | 2008-04-23 |
| 1871693739 | Denver L Johnson | Psychologist | 2900 Saint Anthony Dr, Green Bay, WI 54311-5859 | 2006-09-22 |
| 1023032745 | Irma Catherine Smet | Psychologist | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2006-07-26 |
| 1417972373 | Sarka Evans | Psychologist | 760 Pilgrim Way, Green Bay, WI 54304-5263 | 2006-07-13 |
| 1396770434 | Bruce J. Robertson | Psychologist | 2631 Packerland Dr, Suite 104-c, Green Bay, WI 54313-4130 | 2006-07-11 |
| 1063454502 | William B Hitch | Psychologist | 725 S Webster Ave, Green Bay, WI 54301-3500 | 2006-06-11 |
| Find all providers in GREEN BAY | ||||
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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.