KENT M BERNEY (NPI# 1962626317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962626317 |
| Entity Type | Individual |
| Full Name | KENT M BERNEY |
| Credential | PHD |
| Practice Address |
1300 South Drive Winnebago WI 54985-0009 |
| Mailing Address |
520 University Ave Suite # 300 Madison WI 53703-4915 |
| Practice Telephone | 9202354910 |
| Practice Fax Number | 9202362931 |
| Mailing Telephone | 6082553340 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1266-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | LICENSE | 1266-057 | 01 |
| Street Address |
1300 SOUTH DRIVE |
| City | WINNEBAGO |
| State | WI |
| Zip Code | 54985-0009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093702383 | Louis M Fulton | Psychiatry & Neurology | 1300 South Drive, Winnebago Mental Health Information, Winnebago, WI 54985-0009 | 2005-10-01 |
| 1225320005 | Konstantin A Mikheyev | Family Medicine | 1300 South Drive, Winnebago, WI 54985-0009 | 2011-05-11 |
| 1992028948 | Kaye Zwiacher | Psychiatry & Neurology | 1300 South Drive, Winnebago, WI 54985 | 2010-03-04 |
| 1417189135 | Kevin K Klein | Nurse Practitioner | 1300 South Drive, Winnebago, WI 54985-0009 | 2009-08-13 |
| 1669627089 | Anthony M Lichtfuss | Social Worker | 1300 South Drive, Winnebago, WI 54985 | 2008-11-26 |
| 1598984346 | Kayla M Pope | Psychiatry & Neurology | 1300 South Drive, Winnebago, WI 54985-0009 | 2007-04-24 |
| 1255451688 | Clifford K Stephens | Psychologist | 1300 South Drive, Winnebago, WI 54985-0009 | 2007-03-30 |
| 1669505996 | Margaret Lehnert | Dentist | 1300 South Drive, Winnebago, WI 54985-0009 | 2007-03-14 |
| 1750425328 | Michele A. Andrade | Psychiatry & Neurology | 1300 South Drive, Winnebago, WI 54985 | 2007-02-16 |
| 1952455800 | Jeremiah Lee Olson | Counselor | 1300 South Drive, Winnebago, WI 54985-0009 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437315538 | Emerald M Hauser | Student in an Organized Health Care Education/Training Program | 1300 South Treffert Drive, Winnebago, WI 54985 | 2008-07-29 |
| 1427231828 | Carlo Gallo Gaanan | Family Medicine | 1505 North Drive, Winnebago, WI 54985 | 2007-12-10 |
| 1588781488 | Paul J Barfknecht | Pharmacist | 1300 South Dr, Winnebago, WI 54985 | 2007-03-23 |
| 1265924161 | Jeremiah Mobisa Gwaro | Nurse Practitioner | 1505 North Drive, Winnebago, WI 54985 | 2018-06-06 |
| 1932630985 | Thomas Michlowski | Psychiatry & Neurology | 1505 North Drive, Winnebago, WI 54985 | 2017-03-22 |
| 1295094571 | Julie Ann Thiel | Pharmacist | 1505 North Drive, Winnebago, WI 54985 | 2012-05-08 |
| 1124270947 | Adam Matthew Berman | Psychologist | 2901 W Kinnickinnic River Parkway, Ste 516 Medical Psychology Association, Milwaukee, WI 54985 | 2008-10-13 |
| 1225214802 | Dara B. Sitter | Pharmacist | 1300 South Dr., Winnebago, WI 54985 | 2008-01-14 |
| 1083825608 | Kelly Lee Straus-diedrick | Physical Therapist | 725 Butler Ave, Winnebago, WI 54985 | 2007-05-25 |
| 1093864993 | Byron J Krause | Speech-Language Pathologist | 725 Butler Ave, Oshkosh, WI 54985 | 2007-01-09 |
| Find all providers in zip 54985 | ||||
| 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 |
|---|---|---|---|---|
| 1205445590 | Elizabeth Ann Mullen-houser | Psychologist | 1507 Winnebago St, La Crosse, WI 54601-4967 | 2020-07-23 |
| 1073138327 | Rachel Kahn | Psychologist | 501 Acacia Ln, Madison, WI 53716-3238 | 2020-06-12 |
| 1184248593 | Jill Mallin | Psychologist | 10 S Water St E, Fort Atkinson, WI 53538-2053 | 2020-06-01 |
| 1669095303 | Generational Cycles LLC | Psychologist | 2208 W Rohr Ave, Milwaukee, WI 53209-5057 | 2020-05-27 |
| 1518529718 | Ellen Marie Meier-licht | Psychologist | 200 N Mall Dr, Appleton, WI 54913-8500 | 2019-07-08 |
| 1396309076 | John Nathaniel Greene Jr. | Psychologist | 6100 N 42nd St, Milwaukee, WI 53209-3560 | 2019-04-27 |
| 1396201455 | Pathways Counseling Services | Psychologist | 1025 56th St, Kenosha, WI 53140-3737 | 2019-02-13 |
| 1912461385 | We All Rise Counseling Services LLC | Psychologist | 529 S Jefferson St Ste 201, Green Bay, WI 54301-4125 | 2019-01-30 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1295202976 | Pkm Clinical Solutions LLC | Psychologist | W206s7867 Pasadena Dr, Muskego, WI 53150-9532 | 2018-10-31 |
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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.