DEBRA HULTQUIST (NPI# 1902344765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902344765 |
| Entity Type | Individual |
| Full Name | DEBRA HULTQUIST |
| Credential | PSYD |
| Practice Address |
150 N Sunny Slope Rd Ste 100 Brookfield WI 53005 |
| Mailing Address |
150 N Sunny Slope Rd Ste 100 Brookfield WI 53005-4806 |
| Practice Telephone | 2624325600 |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3454-57 | WI | Behavioral Health & Social Service Providers |
| Street Address |
150 N SUNNY SLOPE RD STE 100 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164761136 | Michelle L Burr | Behavioral Analyst | 150 N Sunny Slope Rd Ste 100, Brookfield, WI 53005-4806 | 2013-02-11 |
| 1033725692 | Brittany Naida | Behavioral Analyst | 150 N Sunny Slope Rd Ste 100, Brookfield, WI 53005-4806 | 2020-09-18 |
| 1245848324 | Christina Mosur | Behavioral Analyst | 150 N Sunny Slope Rd Ste 100, Brookfield, WI 53005-4806 | 2020-07-15 |
| 1497388342 | Lindsay Detienne | Behavior Technician | 150 N Sunny Slope Rd Ste 100, Brookfield, WI 53005-4806 | 2020-02-19 |
| 1659833317 | Autumn C Dunn | Counselor | 150 N Sunny Slope Rd Ste 100, Brookfield, WI 53005-4806 | 2019-04-02 |
| 1780158865 | Jessica A Sheldon | Behavioral Analyst | 150 N Sunny Slope Rd Ste 100, Brookfield, WI 53005-4806 | 2019-01-11 |
| 1073006334 | Heather Marie Zientek | Behavioral Analyst | 150 N Sunny Slope Rd Ste 100, Brookfield, WI 53005-4806 | 2018-06-12 |
| 1558860940 | Sanju Acharya | Behavioral Analyst | 150 N Sunny Slope Rd Ste 100, Brookfield, WI 53005-4806 | 2018-02-12 |
| 1457859290 | Linda S Klotz | Behavioral Analyst | 150 N Sunny Slope Rd Ste 100, Brookfield, WI 53005-4806 | 2018-01-26 |
| 1093234635 | Holly K Bruski | Behavioral Analyst | 150 N Sunny Slope Rd Ste 100, Brookfield, WI 53005-4806 | 2017-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942660600 | Allison Sidel | Psychologist | 304 Federal Rd Ste 301, Brookfield, CT 06804-2423 | 2016-02-24 |
| 1568784114 | Rebecca Lynn Thompson | Psychologist | 150 N Sunny Slope Rd, Suite #100, Brookfield, WI 53005-4806 | 2010-02-24 |
| 1861602609 | Douglas Eugene Scarth | Psychologist | 2 Old New Milford Rd Ste 1e, Brookfield, CT 06804-2426 | 2007-05-23 |
| 1932255833 | Henry Barron | Psychologist | 2224 Twin Pond Rd, Brookfield, VT 05036-9540 | 2007-01-25 |
| 1669537015 | Lynne Berendsen | Psychologist | 13035 W Bluemound Rd, Suite 100, Brookfield, WI 53005-8001 | 2006-12-26 |
| 1356401475 | Howard Joel Haven | Psychologist | 12690 W North Avenue, Elmbrook Family Counseling Center, Brookfield, WI 53005 | 2006-12-11 |
| 1922172634 | Judy A Eager | Psychologist | 13965 W Burleigh Rd, Suite 203, Brookfield, WI 53005-3064 | 2006-11-17 |
| 1649361775 | Kim Marie Gorecki | Psychologist | 19275 W Capitol Dr Ste 200, Brookfield, WI 53045-2734 | 2006-09-27 |
| 1427002211 | Eric D Seybold | Psychologist | 12690 W North Ave, Brookfield, WI 53005-4636 | 2006-05-19 |
| 1194230599 | Jacquelyn Bogdanov | Psychologist | 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 | 2017-12-06 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
Please comment or provide details below to improve the information on DEBRA HULTQUIST.
| 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.