| Center For Behavioral Medicine, Sc | |
|
13400 Bishops Ln Ste 290 Brookfield WI 53005-6254 | |
| (262) 782-2820 | |
| (262) 782-6937 |
| Full Name | Center For Behavioral Medicine, Sc |
|---|---|
| Speciality | Psychologist |
| Location | 13400 Bishops Ln Ste 290, Brookfield, Wisconsin |
| Authorized Official Name and Position | Neal Moglowsky (PRESIDENT) |
| Authorized Official Contact | 2627822820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Behavioral Medicine, Sc 13400 Bishops Ln Ste 290 Brookfield WI 53005-6254 Ph: (262) 782-2820 | Center For Behavioral Medicine, Sc 13400 Bishops Ln Ste 290 Brookfield WI 53005-6254 Ph: (262) 782-2820 |
| NPI Number | 1578515417 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 2567488323 |
|---|---|
| Medicare Enrollment ID | O20051020000635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578515417 | NPI | - | NPPES |
| 42241600 | Medicaid | WI |
| Provider Name | Kimberly R Skerven |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669454088 PECOS PAC ID: 3274578281 Enrollment ID: I20090601000560 |
| Provider Name | Henry A Boeh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306230057 PECOS PAC ID: 5294022992 Enrollment ID: I20160923000847 |
| Provider Name | Kevin M Haworth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740810415 PECOS PAC ID: 8628492006 Enrollment ID: I20200717001149 |
| Provider Name | Alexander I Levin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164924346 PECOS PAC ID: 9537550116 Enrollment ID: I20211216000769 |
| Provider Name | Taylor P Davine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275142465 PECOS PAC ID: 6406222009 Enrollment ID: I20221024001181 |
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