Timothy P Ellingstad in Milwaukee - Psychologist
Timothy P Ellingstad - NPI 1396851101
Timothy P Ellingstad is a Psychologist in Milwaukee, Wisconsin. Timothy P Ellingstad practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Timothy P Ellingstad is 1396851101. The last update date is 2019-08-23.
Timothy P Ellingstad's current location address is 3301 W Forest Home Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4146476326 and fax number 4146718860. The mailing address for Timothy P Ellingstad is 3301 W Forest Home Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy P Ellingstad |
|---|---|
| Address | 3301 W Forest Home Ave, Milwaukee, Wisconsin |
| Phone Number | 4146476326 |
| Fax Number | 4146718860 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1396851101 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2019-08-23 |
Provider Mailing Address Detail
| Address | 3301 W Forest Home Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532152843 |
| Phone Number | 4146476326 |
| Fax Number | 4146718860 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2452-057 |
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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 proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39142400 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Timothy P Ellingstad by the Centers for Medicare & Medicaid Services?
The Timothy P Ellingstad has been issued the NPI (National Provider Identifier) 1396851101, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Timothy P Ellingstad's facilities are situated?
The facilities of Timothy P Ellingstad are physically located at the following address: 3301 W Forest Home Ave, Milwaukee, WI, 532152843.
What is Timothy P Ellingstad's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Timothy P Ellingstad is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Timothy P Ellingstad receive its 1396851101 assignment from the Centers for Medicare & Medicaid Services?
The Timothy P Ellingstad was assigned its 1396851101 by the Centers for Medicare & Medicaid Services on 2006-08-22.
When was the Timothy P Ellingstad's information last updated?
The Timothy P Ellingstad's information was last updated on 2019-08-23.