Brookdale Clinic in Waukesha - Psychologist
Brookdale Clinic - NPI 1568535474
Brookdale Clinic is a Psychologist in Waukesha, Wisconsin. Brookdale Clinic practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Brookdale Clinic is 1568535474. The last update date is 2020-08-22.
Brookdale Clinic's current location address is 2717 N Grandview Blvd, Waukesha, Wisconsin. You can contact this provider via phone number 2625130700 and fax number 2625130707. The mailing address for Brookdale Clinic is 2717 N Grandview Blvd, Waukesha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brookdale Clinic |
|---|---|
| Address | 2717 N Grandview Blvd, Waukesha, Wisconsin |
| Phone Number | 2625130700 |
| Fax Number | 2625130707 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hadar Ilana |
| Credentials | PHD |
| Telephone Number | 2627170077 |
NPI Number Detail
| NPI Number | 1568535474 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2717 N Grandview Blvd |
|---|---|
| City | Waukesha |
| State | Wisconsin (WI) |
| Post Code | 53188 |
| Phone Number | 2625130700 |
| Fax Number | 2625130707 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 904 057 |
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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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What is the unique 10-digit identifier code issued to Brookdale Clinic by the Centers for Medicare & Medicaid Services?
The Brookdale Clinic has been assigned the NPI (National Provider Identifier) 1568535474 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Brookdale Clinic is located?
The Brookdale Clinic is situated at the following address: 2717 N Grandview Blvd, Waukesha, WI, 53188.
What is the Brookdale Clinic's area of specialization and corresponding taxonomy classification?
The Brookdale Clinic's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Brookdale Clinic receive its 1568535474 assignment from the Centers for Medicare & Medicaid Services?
The Brookdale Clinic was assigned its 1568535474 by the Centers for Medicare & Medicaid Services on 2006-11-16.
When was the information regarding Brookdale Clinic most recently updated?
The details pertaining to the Brookdale Clinic, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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