MEDICAL PSYCHOLOGY ASSOCIATES (NPI# 1982000758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982000758 |
Entity Type | Organization |
Organization Name | MEDICAL PSYCHOLOGY ASSOCIATES |
Practice Address |
6110 N Port Washington Rd Glendale WI 53217-4308 |
Practice Telephone | 4149621000 |
Practice Fax Number | 4149636866 |
Mailing Telephone | 4149621000 |
Mailing Fax Number | 4149636866 |
Enumeration Date | 2014-11-06 |
Last Update Date | 2014-11-06 |
Authorized Official Name | DR. KELLY SMERZ (DIRECTOR) |
Authorized Official Telephone | 4149621000 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
984-57 | WI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528280575 | Medical Psychology Associates | Psychologist | 76 Eastern Blvd, Glastonbury, CT 06033-1201 | 2007-05-02 |
Street Address |
6110 N PORT WASHINGTON RD |
City | GLENDALE |
State | WI |
Zip Code | 53217-4308 |
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 |
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 |
1558586016 | Clear Direction Psychological Services, Inc. | Clinic/Center | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2007-04-17 |
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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 |
Find all providers in zip 53217 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
1871155986 | Jane Bowman Lischwe | Psychologist | 1818 Verdugo Blvd Ste 205, Glendale, CA 91208-1435 | 2019-06-28 |
1689143356 | Michael Brendzal | Psychologist | 501 W Glenoaks Blvd # 307, Glendale, CA 91202-2896 | 2018-11-24 |
1902251002 | Michael David Mcgady Jr. | Psychologist | 4425 W Olive Ave Ste 151a, Glendale, AZ 85302-3843 | 2016-04-27 |
1366809790 | Hansen Behavioral Health A Psychological Corporation | Psychologist | 524 N Maryland Ave, Suite 1, Glendale, CA 91206-2266 | 2016-01-15 |
1326469461 | Alisa Angelone | Psychologist | 715 N Central Ave Ste 102, Glendale, CA 91203-1286 | 2013-12-16 |
1699020180 | Ziba Saatchian | Psychologist | 135 S Jackson St, Suite #204, Glendale, CA 91205-4916 | 2012-07-20 |
1003181967 | Daura M De Assis | Psychologist | 436 Palm Dr, # 6, Glendale, CA 91202-3215 | 2012-03-12 |
1134411655 | Bryan Choi | Psychologist | 710 S Central Ave Ste 300, Glendale, CA 91204-4614 | 2011-05-03 |
1194029298 | Mike Zussman | Psychologist | 5800 N Bayshore Dr Ste A250, Glendale, WI 53217-4543 | 2011-01-04 |
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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.