ALLIED MENTAL HEALTH SPECIALTY GROUP SC


Address: 1334 Hosford St Ste B, Hudson, WI 54016-9230
Phone: 7158080795

ALLIED MENTAL HEALTH SPECIALTY GROUP SC (NPI# 1831315191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831315191
Entity Type Organization
Organization Name ALLIED MENTAL HEALTH SPECIALTY GROUP SC
Other Organization Name ALLIED MENTAL HEALTH SPECIALTY GROUP SC
Practice Address 1334 Hosford St Ste B
Hudson
WI 54016-9230
Practice Telephone 7158080795
Practice Fax Number 7158080361
Mailing Telephone 7158080795
Mailing Fax Number 7158080361
Enumeration Date 2007-04-17
Last Update Date 2020-05-09
Authorized Official Name BRADLEY G NEVINS (OWNER)
Authorized Official Telephone 7158080795
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
1436-057 WI Behavioral Health & Social Service Providers
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39692000 05
WI BCBS PIN BNEVINS 471547731E03 01
MN BCBS AUDREY NEVINS 87G89NE 01
MN GROUP NUM A NEVINS 87G99BR 01
MN GROUP NUM ASILER 96G77BR 01
WI UBH AUDREYNEVINS 62-70147 01
MN BNEVINS HEALTHPARTNERS GR 110795 01
MN 165875100 05
WI NPI INDIVIDUAL ANEVINS 1710043070 01
MN NPI IND NUM ANGELA SILER 1982771317 01
MN GROUP NUMBER BCBS BNEVINS 276P4BR 01
MN BCBS IND PROV NUM BNEVINS 277P4NE 01
WI BCBS ANEVINS PIN 374826056003 01
WI 39087700 05
WI BCBS GROUP NUMBER BEVINS 39172147012 01
WI UBH BRAD NEVINS 61-57474 01
MN PREFERREDONE ANEVINS PIN 936451035211 01
MN BCBS IND NUM A SILER 96G67SI 01

Other Provider/Organization Names

Other Name Type Code
Allied Mental Health Specialty Group SC Former Legal Business Name - Organization
Midwest Psychological Services Doing Business As Name - Organization

Office Location

Street Address 1334 HOSFORD ST STE B
City HUDSON
State WI
Zip Code 54016-9230

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922622471 Allied Mental Health LLC Psychologist 1334 Hosford St Ste B, Hudson, WI 54016-9230 2020-06-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164921128 Sara Lynn Henry Occupational Therapy Assistant 1320 Wisconsin St., Husdon, WI 54016 2018-02-06
1689003436 Serving Hands Inc Home Health 1419 Boulder Court, Hudson, WI 54016 2013-11-02
1275973042 Lisa Renee Haverly Occupational Therapist 477 Perch Lake Rd, Hudson, WI 54016 2013-06-26
1710320213 Emily Ann Stevenson Counselor 901 4th St Ste 165, Hudson, WI 54016 2013-04-15
1083972954 The Shurden Group In Home Supportive Care 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 2012-04-30
1124305933 Robert Michael Catlow-price Massage Therapist 131 Carmichael Road, Suite #202, Hudson, WI 54016 2011-11-08
1962780221 Qin Chu Acupuncturist 1615 Maxwell Dr., Suite D, Hudson, WI 54016 2011-08-03
1124324231 Hung Trieu Lieu Acupuncturist 1810 Crest View Dr Ste 4a, Hudson, WI 54016 2011-02-07
1912214966 Sumac Residential LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 723 B Blue Jay Lane, Hudson, WI 54016 2010-09-10
1740593201 Michelle Marie Young Counselor 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 2010-07-26
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659705804 Lauren O'hara Psychologist 2132 Case Parkway North, Kidslink, Hudson, OH 44087 2013-08-23
1083877567 Sheila Deck Spires Psychologist 13413 Hicks Rd, Hudson, FL 34669-3820 2008-07-06
1659493708 James Fraser Austin Psychologist 5410 Brooklands Dr, Hudson, OH 44236-4167 2007-04-06
1841379955 Harold E Schroeder Psychologist 7234 Dillman Dr, Hudson, OH 44236-2410 2006-11-02
1578647004 Michael J Moller Psychologist 900 6th St N, 102, Hudson, WI 54016-7171 2006-10-24
1144322132 Peter Anthony Nasseff Psychologist 401 Stageline Drive, Suite 7, Hudson, WI 54016 2006-09-01
1922622471 Allied Mental Health LLC Psychologist 1334 Hosford St Ste B, Hudson, WI 54016-9230 2020-06-01
1356835755 Kerri A Scorpio Psychologist 71 Prospect Ave, Hudson, NY 12534 2018-06-19
1932625357 Refresh Midwest Operations, Sc Psychologist 2501 Hanley Rd Ste 202, Hudson, WI 54016-8705 2017-08-17
1821464538 Jeremy Vose Psychologist 325 Columbia St, Hudson, NY 12534-1902 2015-08-17
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Competitor

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City HUDSON
Zip Code 54016

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Dataset Information

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.

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