| Psychiatric Consultants & Therapists, Sc | |
|
229 E Wisconsin Ave Suite 600 Milwaukee WI 53202-4230 | |
| (414) 224-3737 | |
| (414) 224-3725 |
| Full Name | Psychiatric Consultants & Therapists, Sc |
|---|---|
| Speciality | Psychologist |
| Location | 229 E Wisconsin Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Mary Jo Caminiti (CLINIC MANAGER) |
| Authorized Official Contact | 4142243737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Consultants & Therapists, Sc 229 E Wisconsin Ave Suite 600 Milwaukee WI 53202-4230 Ph: (414) 224-3737 | Psychiatric Consultants & Therapists, Sc 229 E Wisconsin Ave Suite 600 Milwaukee WI 53202-4230 Ph: (414) 224-3737 |
| NPI Number | 1700818119 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 09/01/2016 |
| Medicare PECOS PAC ID | 5092740985 |
|---|---|
| Medicare Enrollment ID | O20050929000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700818119 | NPI | - | NPPES |
| 42197700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | William N Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710044151 PECOS PAC ID: 0143114801 Enrollment ID: I20040212000305 |
| Provider Name | Karen A Huber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972522217 PECOS PAC ID: 8729972492 Enrollment ID: I20040212000336 |
| Provider Name | Shobha D Gagrat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427073303 PECOS PAC ID: 8022902550 Enrollment ID: I20040213000364 |
| Provider Name | Michael G Pazdan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750492047 PECOS PAC ID: 5698731933 Enrollment ID: I20041208000266 |
| Provider Name | Elizabeth M Blair |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730107228 PECOS PAC ID: 4981658218 Enrollment ID: I20050309000417 |
| Provider Name | Kathleen A Trott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295739068 PECOS PAC ID: 0547201592 Enrollment ID: I20050519000553 |
| Provider Name | Lee R Beitzel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780609636 PECOS PAC ID: 5496758435 Enrollment ID: I20060814000133 |
| Provider Name | Mary Jane M Demet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841219169 PECOS PAC ID: 4688677636 Enrollment ID: I20060814000227 |
| Provider Name | Donald Fischer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144309345 PECOS PAC ID: 8123059151 Enrollment ID: I20110824000129 |
| Provider Name | Dinshah D Gagrat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194740068 PECOS PAC ID: 4385679281 Enrollment ID: I20111110000180 |
| Provider Name | Mary Jo Caminiti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760415160 PECOS PAC ID: 6103851001 Enrollment ID: I20120330000077 |
| Provider Name | Ajay R Wadhwa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407923790 PECOS PAC ID: 3870755598 Enrollment ID: I20120425000632 |
| Provider Name | Adam Margolis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891855904 PECOS PAC ID: 9436312295 Enrollment ID: I20120515000677 |
| Provider Name | Susan J Bloom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396989141 PECOS PAC ID: 0547311375 Enrollment ID: I20140421000294 |
| Provider Name | Julia E Bratton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548627201 PECOS PAC ID: 0547559247 Enrollment ID: I20160519001577 |
| Provider Name | Allyson Wise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831457217 PECOS PAC ID: 9335430206 Enrollment ID: I20160623001439 |
| Provider Name | Jessica M Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831460575 PECOS PAC ID: 1951692656 Enrollment ID: I20160628001771 |
| Provider Name | Michelle Zapinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841779238 PECOS PAC ID: 5698028553 Enrollment ID: I20181024000131 |
| Provider Name | Jessica Ramintho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528542511 PECOS PAC ID: 7911250436 Enrollment ID: I20181031001751 |
| Provider Name | Lauren M Kubik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639727258 PECOS PAC ID: 5395077119 Enrollment ID: I20191029000858 |
| Provider Name | Debora B Magill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578138756 PECOS PAC ID: 5991107518 Enrollment ID: I20210706000775 |
| Provider Name | Lisa Rae Cwikla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437825684 PECOS PAC ID: 9133527476 Enrollment ID: I20211018001168 |
| Provider Name | Colleen E Davis Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609513704 PECOS PAC ID: 3173904745 Enrollment ID: I20220714001391 |
| Provider Name | Daniel Kevin Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629619002 PECOS PAC ID: 4183046576 Enrollment ID: I20230523000515 |
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