MR. FRANK PAUL URTZ


Address: 6110 N Port Washington Rd, Glendale, WI 53217-4308
Phone: 4143323390

MR. FRANK PAUL URTZ (NPI# 1912093162) 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) 1912093162
Entity Type Individual
Full Name MR. FRANK PAUL URTZ
Credential PHD
Practice Address 6110 N Port Washington Rd
Glendale
WI 53217-4308
Mailing Address 6110 N Port Washington Rd
Clear Direction Psychological Services, Inc.
Glendale
WI 53217-4308
Practice Telephone 4143323390
Practice Fax Number 4143323392
Mailing Telephone 4143323390
Mailing Fax Number 4143323392
Enumeration Date 2006-10-05
Last Update Date 2013-04-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
841057 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI MANAGED HEALTH NETWORK 166708 01
WI VALUEOPTIONS PROVIDER 157211 01
WI 39020900 05
WI AETNA PROVIDER NUMBER 4017291 01
WI BLUE CROSS BLUE SHIELD 522413716013 01

Office Location

Street Address 6110 N PORT WASHINGTON RD
City GLENDALE
State WI
Zip Code 53217-4308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932146172 Diane Marie Mosnik Clinical Neuropsychologist 6110 N Port Washington Rd, Glendale, WI 53217-4308 2006-05-31
1902317993 Cheryl Ann Honeycutt Registered Nurse 6110 N Port Washington Rd, Glendale, WI 53217-4308 2017-10-17
1770012056 Strong Home Care and Companions Home Health 6110 N Port Washington Rd, Suite 3, Glendale, WI 53217 2017-06-08
1205388600 Kate Halbach Counselor 6110 N Port Washington Rd, Glendale, WI 53217-4308 2016-11-01
1013369271 Rebecca Zimmermann Counselor 6110 N Port Washington Rd, Glendale, WI 53217-4308 2016-07-11
1982000758 Medical Psychology Associates Psychologist 6110 N Port Washington Rd, Glendale, WI 53217-4308 2014-11-06
1477871267 Janet Helen Mcclintock Counselor 6110 N Port Washington Rd, Glendale, WI 53217-4308 2010-05-04
1902093289 The Cambridge Group Community/Behavioral Health 6110 N Port Washington Rd, Glendale, WI 53217-4308 2007-10-01
1245425354 Neurobehavioral Health Clinic Psychologist 6110 N Port Washington Rd, Glendale, WI 53217-4308 2007-09-11
1780892026 Marty Sapp Psychologist 6110 N Port Washington Rd, Glendale, WI 53217-4308 2007-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922632587 Jasmine Dockery Pharmacist 5400 N Port Washington, Glendale, WI 53217 2020-02-23
1174017339 North Lakes Nursing Home Health Care Agency LLC Home Health 225 E Fairmount Ave, Milwaukee, WI 53217 2018-06-20
1083140289 Miriah Ann King, Ms, Lpc Counselor 7805 North Boyd Way, Fox Point, WI 53217 2017-05-08
1245783067 Lakesha L Jones Counselor 5235 N Ironwood Rd, Glendale, WI 53217 2016-07-28
1750783312 Ibrahim S Abouzeid Specialist/Technologist, Other 333 W Brown Deer Road, #240, Milwaukee, WI 53217 2014-09-25
1255733598 Victoria Gorodetsky Pharmacist 229 W Indian Creek Ct, Milwaukee, WI 53217 2014-09-18
1174800049 John Herman Esser Internal Medicine 1050 W Acacia Rd, Milwaukee, WI 53217 2011-11-07
1710298351 Leann M Harman Physical Therapist 5333 N Port Washington Rd Ste B, Glendale, WI 53217 2010-06-29
1306012455 Emily Marie Gallagher Speech-Language Pathologist 6700 N. Port Washington Road, Milwaukee, WI 53217 2008-05-07
1164625455 Mary Catherine Enderlin Psychologist 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 2007-06-06
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508401266 Patricia Lavallee Psychologist 6128 W Mcrae Way, Glendale, AZ 85308-7635 2019-11-16
1831422930 Jeanette I Lantz Psychologist 601 E. Glenoaks Blvd, Suite 102, Glendale, CA 91207 2009-09-09
1962462093 John M O'donnell Psychologist 5225 N Ironwood Ln, Suite # 212, Glendale, WI 53217-4909 2006-03-24
1780892026 Marty Sapp Psychologist 6110 N Port Washington Rd, Glendale, WI 53217-4308 2007-05-18
1295805133 Mike Tamassian Psychologist 1101 N Pacific Ave, 204, Glendale, CA 91202-3250 2006-11-08
1700893336 Marylin Calzadilla Psychologist 1530 E Chevy Chase Dr, Suite 204, Glendale, CA 91206-4163 2006-08-03
1467490987 Patricia K Masuda-story Psychologist 100 N Brand Blvd, Suite 316, Glendale, CA 91203-2641 2006-06-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386109924 Rebecca Timmins Psychologist 231 9th St, Menasha, WI 54952-2266 2019-02-07
1225368723 Colleen A Ryan Psychologist N1563 County Road H, Palmyra, WI 53156-9738 2010-01-05
1548417389 Nadia S Damm Psychologist 10855 W Potter Rd Ste 21, Wauwatosa, WI 53226-3439 2008-08-23
1720120959 Advanced Psychological Innovations Psychologist 6418 Normandy Ln, Suite 215, Madison, WI 53719-1149 2007-02-13
1568573715 Omne Clinic Inc Psychologist 233 E La Salle Avenue, Barron, WI 54812 2006-08-31
1619081437 Omne Clinic, Inc. Psychologist 101 N. Farwell Street, Ste. 204, Eau Claire, WI 54703 2006-08-18
1548279045 Dolores Kluppel Vetter Psychologist 6401 Odana Rd, Ste A, Madison, WI 53719-1126 2006-08-05
1316977192 Tasha Farrar Psychologist 3301 N Ballard Rd Ste C, Appleton, WI 54911-9002 2006-07-04
1215913207 Phyllis Kasper Psychologist 5300 Memorial Dr, Two Rivers, WI 54241-3923 2005-12-21
1922441195 Medical Mobile Specialists S.c. Psychologist 347 Park Ave, Pewaukee, WI 53072-3413 2013-04-08
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Competitor

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City GLENDALE
Zip Code 53217

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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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