| Mequon Clinical Associates, Sc | |
|
11501 N Port Washington Rd Suite 202 Mequon WI 53092-3465 | |
| (262) 241-8100 | |
| (262) 241-8200 |
| Full Name | Mequon Clinical Associates, Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11501 N Port Washington Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Jeffrey E Taxman (PRESIDENT) |
| Authorized Official Contact | 2622418100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mequon Clinical Associates, Sc 11501 N Port Washington Rd Suite 202 Mequon WI 53092-3465 Ph: (262) 241-8100 | Mequon Clinical Associates, Sc 11501 N Port Washington Rd Suite 202 Mequon WI 53092-3465 Ph: (262) 241-8100 |
| NPI Number | 1326296518 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 09/03/2008 |
| Medicare PECOS PAC ID | 5092876524 |
|---|---|
| Medicare Enrollment ID | O20081203000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326296518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 26227 (Wisconsin) | Primary |
| Provider Name | Christina C Keppel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811936701 PECOS PAC ID: 1951360262 Enrollment ID: I20041006000180 |
| Provider Name | Eric L Weiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992826218 PECOS PAC ID: 9739127788 Enrollment ID: I20050420000526 |
| Provider Name | Dennis J Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265479257 PECOS PAC ID: 7517984172 Enrollment ID: I20051102000271 |
| Provider Name | Patricia A Flanagan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508943366 PECOS PAC ID: 1355357682 Enrollment ID: I20060223000784 |
| Provider Name | Lisa Ann Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871066506 PECOS PAC ID: 8325450984 Enrollment ID: I20201224000194 |
| Provider Name | Amanda Viola Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710598982 PECOS PAC ID: 1254745557 Enrollment ID: I20210128000129 |
| Provider Name | Allie Gavin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891386827 PECOS PAC ID: 5597171702 Enrollment ID: I20210315000756 |
| Provider Name | Talia Hellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386984821 PECOS PAC ID: 3476955907 Enrollment ID: I20210727003051 |
| Provider Name | Christina M Rahming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295299550 PECOS PAC ID: 1557711090 Enrollment ID: I20231227000517 |
Jmd, Psychology, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14135 N Cedarburg Rd, Mequon, WI 53097 Phone: 262-261-3023 Fax: 262-377-5552 | |
Harrigan Development Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 West Glen Oaks Lane, Suite 245, Mequon, WI 53092 Phone: 262-347-3711 Fax: 262-364-2527 | |
Mosaic Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11516 N Port Washington Rd Ste 208, Mequon, WI 53092 Phone: 262-229-5573 Fax: 262-292-5563 | |
Creative Solutions Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 W Glen Oaks Ln Ste 109, Mequon, WI 53092 Phone: 414-737-0168 | |
Newport Professionals Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11501 N Port Washington Rd, G30, Mequon, WI 53092 Phone: 262-241-8100 Fax: 262-241-8200 | |
Katz-gilbertson Psychotherapy Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11501 N Port Washington Rd, Suite 218, Mequon, WI 53092 Phone: 262-240-9620 | |
Casey Mccarragher Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14135 N Cedarburg Rd, Mequon, WI 53097 Phone: 262-377-2006 |