| Associated Mental Health Consultants Inc | |
|
2600 N Mayfair Rd Suite #305 Wauwatosa WI 53226-1309 | |
| (414) 257-0233 | |
| (414) 257-3588 |
| Full Name | Associated Mental Health Consultants Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2600 N Mayfair Rd, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Bernadette Demuri (OWNER) |
| Authorized Official Contact | 4142570233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Mental Health Consultants Inc 2600 N Mayfair Rd Suite #305 Wauwatosa WI 53226-1309 Ph: (414) 257-0233 | Associated Mental Health Consultants Inc 2600 N Mayfair Rd Suite #305 Wauwatosa WI 53226-1309 Ph: (414) 257-0233 |
| NPI Number | 1063437986 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 11/09/2009 |
| Medicare PECOS PAC ID | 5597665026 |
|---|---|
| Medicare Enrollment ID | O20040112000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063437986 | NPI | - | NPPES |
| 4212800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Wisconsin) | Primary |
| Provider Name | Bernadette A Demuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003831959 PECOS PAC ID: 0143121103 Enrollment ID: I20040114000360 |
| Provider Name | Laura C Liguori |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902910607 PECOS PAC ID: 9537193180 Enrollment ID: I20050922000672 |
| Provider Name | Theresa Koch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497774715 PECOS PAC ID: 2163456690 Enrollment ID: I20050923000080 |
| Provider Name | Laura L Pulsifer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760580328 PECOS PAC ID: 2860577343 Enrollment ID: I20080307000300 |
| Provider Name | David J Rohde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528086220 PECOS PAC ID: 2062416100 Enrollment ID: I20081002000482 |
| Provider Name | Sarah E Jankowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962679977 PECOS PAC ID: 4183871304 Enrollment ID: I20120823000253 |
| Provider Name | Mariellen Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205880564 PECOS PAC ID: 7911149125 Enrollment ID: I20130816000429 |
| Provider Name | Kathryn E Vele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669874590 PECOS PAC ID: 9638494768 Enrollment ID: I20150213000374 |
| Provider Name | Jennifer K Cicero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487071932 PECOS PAC ID: 4981929908 Enrollment ID: I20150216001605 |
| Provider Name | Jillian M O'grady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821467986 PECOS PAC ID: 8224328216 Enrollment ID: I20160603000254 |
| Provider Name | Nicole Maki-rydland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386065589 PECOS PAC ID: 6507274545 Enrollment ID: I20210413000529 |
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