| Clinical Psychology Associates | |
|
197 W Chestnut St Ste 100 Burlington WI 53105-1200 | |
| (262) 763-9191 | |
| (262) 763-7767 |
| Full Name | Clinical Psychology Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 197 W Chestnut St Ste 100, Burlington, Wisconsin |
| Authorized Official Name and Position | David William Thompson (CLINIC DIRECTOR/OWNER) |
| Authorized Official Contact | 2627639191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Psychology Associates 197 W Chestnut St Ste 100 Burlington WI 53105-1200 Ph: (262) 763-9191 | Clinical Psychology Associates 197 W Chestnut St Ste 100 Burlington WI 53105-1200 Ph: (262) 763-9191 |
| NPI Number | 1619156502 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 04/22/2021 |
| Certification Date | 04/22/2021 |
| Medicare PECOS PAC ID | 4284041740 |
|---|---|
| Medicare Enrollment ID | O20210329001981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619156502 | NPI | - | NPPES |
| 42171100 | Medicaid | WI |
| Provider Name | David W Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508896606 PECOS PAC ID: 2365486867 Enrollment ID: I20050615000772 |
| Provider Name | Paula K Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568502532 PECOS PAC ID: 5991857252 Enrollment ID: I20090716000616 |
| Provider Name | Kathryn Marolt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265002810 PECOS PAC ID: 0042613028 Enrollment ID: I20210728002401 |
| Provider Name | Elizabeth T Vogt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134587744 PECOS PAC ID: 0143616185 Enrollment ID: I20220408002260 |
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