MS. MITZI J DEARBORN


Address: Va Medical Center, 5000 West National Avenue, Milwaukee, WI 53295-0001
Phone: 4148053666

MS. MITZI J DEARBORN (NPI# 1982655056) 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) 1982655056
Entity Type Individual
Full Name MS. MITZI J DEARBORN
Credential PHD
Practice Address Va Medical Center
5000 West National Avenue
Milwaukee
WI 53295-0001
Mailing Address 5000 W National Ave
Va Medical Center
Milwaukee
WI 53295-0001
Practice Telephone 4148053666
Enumeration Date 2006-05-13
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 1022 WI Behavioral Health & Social Service Providers

Office Location

Street Address VA MEDICAL CENTER
5000 WEST NATIONAL AVENUE
City MILWAUKEE
State WI
Zip Code 53295-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760434245 Kevin T White Physical Medicine & Rehabilitation Va Medical Center, 5000 West National Avenue, Milwaukee, WI 53295 2006-05-16
1902858442 Jacqueline J Wertsch Physical Medicine & Rehabilitation Va Medical Center, 5000 West National Avenue, Milwaukee, WI 53295-0001 2006-05-16
1932150786 Kenneth K Lee Physical Medicine & Rehabilitation Va Medical Center, 5000 West National Avenue, Milwaukee, WI 53295 2006-05-15
1528019916 Roger W Byhardt Radiology Va Medical Center, 5000 West National Avenue, Milwaukee, WI 53295 2006-05-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457858573 Nina Sathasivam-rueckert Psychologist Zablocki Va Medical Center 5000 West National Avenue, Milwaukee, WI 53295 2018-04-06
1306350269 Nicole Marien Van Horn Clinical Nurse Specialist Milwaukee Va Medical Center (zablocki), 5000 W. National Ave, Milwaukee, WI 53295 2017-11-29
1275829582 Emily Rose Allred Registered Nurse 500 National Ave, Milwaukee, WI 53295 2011-06-24
1104912666 Steve Eigen Social Worker 5000 W. National, Milwaukee, WI 53295 2006-10-04
1225121700 Vicki L Nelson Social Worker 5000 W.national Ave, Milwaukee, WI 53295 2006-10-02
1003908617 Beth Ayers Physical Therapist 5000 W National Ave., Milwaukee, WI 53295 2006-09-29
1730286295 Regina Robin Anderson-spann Social Worker 5000 W. National Avenue, Milwaukee, WI 53295 2006-09-19
1891723904 Allyn J Coleman Dentist Clement J. Zablocki Va Medical Center, 5000 W National Avenue, Milwaukee, WI 53295 2006-06-29
1356347686 Wendy R. Janssen Nurse Practitioner 5000 W. National Ave, Milwaukee, WI 53295 2005-06-22
1629073507 Susan Kathlenn Kartes Nurse Practitioner 5000 West National Avenue, Milwaukee, WI 53295 2005-06-16
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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
1669095303 Generational Cycles LLC Psychologist 2208 W Rohr Ave, Milwaukee, WI 53209-5057 2020-05-27
1396309076 John Nathaniel Greene Jr. Psychologist 6100 N 42nd St, Milwaukee, WI 53209-3560 2019-04-27
1851889901 Elliot L Broch Psychologist 3266 N 53rd St, Milwaukee, WI 53216-3248 2018-04-24
1457858573 Nina Sathasivam-rueckert Psychologist Zablocki Va Medical Center 5000 West National Avenue, Milwaukee, WI 53295 2018-04-06
1043730864 Venice Anderson Psychologist 5000 W National Ave Bldg 109, Milwaukee, WI 53295-0001 2017-06-22
1306230057 Henry Boeh Psychologist 250 N. Sunnyslope Road, Suite 203, Milwaukee, WI 53213-3574 2015-03-19
1851794382 Dr. Robert A Gruenberg Psychologist 6213 N Green Bay Ave., Milwaukee, WI 53209-3823 2014-09-29
1538590393 Psychological Purposes LLC Psychologist 3229 S Adams Ave, Milwaukee, WI 53207-2705 2013-12-04
1568890150 David Phelps Psychologist 401 E Kilbourn Ave, Suite 402, Milwaukee, WI 53202-3212 2013-10-17
1366788994 Christina Mh Engn Psychologist 740 N Plankinton Ave Ste 334, Milwaukee, WI 53203-2403 2012-12-31
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Competitor

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City MILWAUKEE
Zip Code 53295

Improve Information

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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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