| Behavioral Health Clinic, Llc | |
|
630 S 36th Ave Wausau WI 54401-3930 | |
| (715) 842-9500 | |
| (715) 848-0425 |
| Full Name | Behavioral Health Clinic, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 630 S 36th Ave, Wausau, Wisconsin |
| Authorized Official Name and Position | Charity Dawn Fancher (OPERATIONS ADMINISTRATOR) |
| Authorized Official Contact | 7158429500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Clinic, Llc 630 S 36th Ave Wausau WI 54401-3930 Ph: (715) 842-9500 | Behavioral Health Clinic, Llc 630 S 36th Ave Wausau WI 54401-3930 Ph: (715) 842-9500 |
| NPI Number | 1831442359 |
|---|---|
| Provider Enumeration Date | 10/22/2012 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 8628409885 |
|---|---|
| Medicare Enrollment ID | O20200504002000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831442359 | NPI | - | NPPES |
| Provider Name | Kathryn M Keller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750541835 PECOS PAC ID: 9739353467 Enrollment ID: I20111115000646 |
| Provider Name | Megan Sloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639425499 PECOS PAC ID: 6901056969 Enrollment ID: I20121029000202 |
| Provider Name | Rachel L Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154722742 PECOS PAC ID: 8628342763 Enrollment ID: I20170927004428 |
| Provider Name | Abigail I Ream |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235508748 PECOS PAC ID: 2466713748 Enrollment ID: I20180301000561 |
| Provider Name | Amber N Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790132793 PECOS PAC ID: 8224466081 Enrollment ID: I20200310002450 |
| Provider Name | Judy S Lemke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962559641 PECOS PAC ID: 7012308851 Enrollment ID: I20220105000410 |
| Provider Name | Shannon C Schaefer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972616795 PECOS PAC ID: 0941631022 Enrollment ID: I20220124002550 |
| Provider Name | Brian Donald Weiland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063812246 PECOS PAC ID: 1850722935 Enrollment ID: I20220125002089 |
| Provider Name | Heather Joy Meggers-wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376989962 PECOS PAC ID: 4587095666 Enrollment ID: I20220125002308 |
| Provider Name | Patricia Gumz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558914085 PECOS PAC ID: 2264809599 Enrollment ID: I20221031000310 |
| Provider Name | Katrina Maria Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104337880 PECOS PAC ID: 5294104626 Enrollment ID: I20221207001307 |
| Provider Name | Stacy Marie Stefaniak Luther |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649666926 PECOS PAC ID: 2769813849 Enrollment ID: I20230117000130 |
| Provider Name | Magdalena Elizabeth Rocha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508509381 PECOS PAC ID: 7618342262 Enrollment ID: I20230412001852 |
| Provider Name | Katie Anne Dorsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194194373 PECOS PAC ID: 9234533969 Enrollment ID: I20230412003060 |
| Provider Name | Stephanie Carol Smith Kellen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801366992 PECOS PAC ID: 8426414822 Enrollment ID: I20230509002020 |
| Provider Name | Louis Michael Rossetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457788093 PECOS PAC ID: 4880055284 Enrollment ID: I20230802000261 |
| Provider Name | Jaime L. Bergh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841977972 PECOS PAC ID: 7214391226 Enrollment ID: I20230908003593 |
| Provider Name | Ebony Oteara Butler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902208580 PECOS PAC ID: 3678881539 Enrollment ID: I20231202000647 |
| Provider Name | Oliver James Lees |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609574219 PECOS PAC ID: 7517318397 Enrollment ID: I20240105000897 |
| Provider Name | Travis Anthony Musich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295507564 PECOS PAC ID: 6406207232 Enrollment ID: I20240105002609 |
| Provider Name | Melanie Strand-glatczak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053643403 PECOS PAC ID: 1951749605 Enrollment ID: I20240401002560 |
| Provider Name | Keri A Otte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598339178 PECOS PAC ID: 4688013063 Enrollment ID: I20240418000435 |
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