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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 1022 | WI | Behavioral Health & Social Service Providers |
Street Address |
VA MEDICAL CENTER 5000 WEST NATIONAL AVENUE |
City | MILWAUKEE |
State | WI |
Zip Code | 53295-0001 |
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 |
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 |
Find all providers in zip 53295 |
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 |
---|---|---|---|---|
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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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.