North Shore Psychotherapy Associates Iv in Glendale - Clinical
North Shore Psychotherapy Associates Iv - NPI 1194809574
North Shore Psychotherapy Associates Iv is a Clinical in Glendale, Wisconsin. North Shore Psychotherapy Associates Iv practices all healthcare services and medical treatments related to Clinical. The NPI Number for North Shore Psychotherapy Associates Iv is 1194809574. The last update date is 2023-05-08.
North Shore Psychotherapy Associates Iv's current location address is 5555 N Port Washington Rd Ste 300, Glendale, Wisconsin. You can contact this provider via phone number 4149626764 and fax number 4149626765. The mailing address for North Shore Psychotherapy Associates Iv is 5555 N Port Washington Rd Ste 300, Glendale, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Shore Psychotherapy Associates Iv |
|---|---|
| Address | 5555 N Port Washington Rd Ste 300, Glendale, Wisconsin |
| Phone Number | 4149626764 |
| Fax Number | 4149626765 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CO DIRECTO |
|---|---|
| Authorized Official Name | Dolezal Sheryl |
| Credentials | PSYD |
| Telephone Number | 4149626764 |
NPI Number Detail
| NPI Number | 1194809574 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2023-05-08 |
Provider Mailing Address Detail
| Address | 5555 N Port Washington Rd Ste 300 |
|---|---|
| City | Glendale |
| State | Wisconsin (WI) |
| Post Code | 532174928 |
| Phone Number | 4149626764 |
| Fax Number | 4149626765 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100047128 | WI | -- | |
| K100345509 | WI | MEDICARE |
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What is the unique identification code assigned to North Shore Psychotherapy Associates Iv by the Centers for Medicare & Medicaid Services?
The North Shore Psychotherapy Associates Iv has been issued the NPI (National Provider Identifier) 1194809574. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the North Shore Psychotherapy Associates Iv located?
The North Shore Psychotherapy Associates Iv is located at 5555 N Port Washington Rd Ste 300, Glendale, WI 532174928.
What is the North Shore Psychotherapy Associates Iv's area of specialization and corresponding taxonomy classification?
The North Shore Psychotherapy Associates Iv's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When did North Shore Psychotherapy Associates Iv receive its 1194809574 assignment?
The North Shore Psychotherapy Associates Iv was assigned its 1194809574 on 2006-10-24, which is the date when this unique identifier was issued to the organization.
When was the information regarding North Shore Psychotherapy Associates Iv most recently updated?
The details pertaining to the North Shore Psychotherapy Associates Iv, including its address, specialty, and other relevant information, were last refreshed on 2023-05-08.