| Milwaukee County Behavioral Health Psychological Associates | |
|
1220 W Vliet St Fl 3 Milwaukee WI 53205-2117 | |
| (414) 257-6995 | |
| Not Available |
| Full Name | Milwaukee County Behavioral Health Psychological Associates |
|---|---|
| Speciality | Psychologist |
| Location | 1220 W Vliet St Fl 3, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Sheri Duquaine (PATIENT ACCOUNTS MANAGER) |
| Authorized Official Contact | 4143918172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milwaukee County Behavioral Health Psychological Associates 1220 W Vliet St Fl 3 Milwaukee WI 53205-2117 Ph: (414) 257-6995 | Milwaukee County Behavioral Health Psychological Associates 1220 W Vliet St Fl 3 Milwaukee WI 53205-2117 Ph: (414) 257-6995 |
| NPI Number | 1942362066 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 04/13/2023 |
| Certification Date | 04/13/2023 |
| Medicare PECOS PAC ID | 0446162887 |
|---|---|
| Medicare Enrollment ID | O20031104000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942362066 | NPI | - | NPPES |
| 000000812 | Other | WI | MEDICARE PTAN |
| 43551200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Wisconsin) | Primary |
| Provider Name | Robert J Ruskiewicz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639185564 PECOS PAC ID: 6204846058 Enrollment ID: I20060425000291 |
| Provider Name | Shane Victor Moisio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487601720 PECOS PAC ID: 0547272551 Enrollment ID: I20060612000077 |
| Provider Name | John H Schneider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679503635 PECOS PAC ID: 7012912488 Enrollment ID: I20060919000412 |
| Provider Name | Justin D Kuehl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285710947 PECOS PAC ID: 9133128333 Enrollment ID: I20061218000168 |
| Provider Name | Anthony W Thrasher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417038183 PECOS PAC ID: 1658447271 Enrollment ID: I20080905000301 |
| Provider Name | Suraj P Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801027602 PECOS PAC ID: 1153504535 Enrollment ID: I20110322000841 |
| Provider Name | Megan E Mcclymonds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386756096 PECOS PAC ID: 1153593918 Enrollment ID: I20111020000670 |
| Provider Name | Annaliese M Koller Shumate |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174812499 PECOS PAC ID: 6608016662 Enrollment ID: I20130716000248 |
| Provider Name | Emilie M Padfield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982022752 PECOS PAC ID: 0042512402 Enrollment ID: I20151231001795 |
| Provider Name | James M Stevens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104260579 PECOS PAC ID: 6002135290 Enrollment ID: I20151231001849 |
| Provider Name | Rebecca M Sauer Stach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689891376 PECOS PAC ID: 5395014831 Enrollment ID: I20180510001170 |
| Provider Name | Courtney J Weston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184268229 PECOS PAC ID: 9133552177 Enrollment ID: I20191205002630 |
| Provider Name | Stacy Paula Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053886887 PECOS PAC ID: 3870926546 Enrollment ID: I20191211000495 |
| Provider Name | Angela M Post |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306605704 PECOS PAC ID: 3971944026 Enrollment ID: I20240507004255 |
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