| Rondi J Rork Phd Llc | |
|
6015 Durand Ave Suite 450 Racine WI 53406-5089 | |
| (262) 884-4848 | |
| Not Available |
| Full Name | Rondi J Rork Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6015 Durand Ave, Racine, Wisconsin |
| Authorized Official Name and Position | Rondi J Rork (PSYCHOLOGIST) |
| Authorized Official Contact | 2628844848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rondi J Rork Phd Llc 6015 Durand Ave Suite 450 Racine WI 53406-5089 Ph: (262) 884-4848 | Rondi J Rork Phd Llc 6015 Durand Ave Suite 450 Racine WI 53406-5089 Ph: (262) 884-4848 |
| NPI Number | 1326310459 |
|---|---|
| Provider Enumeration Date | 02/06/2012 |
| Last Update Date | 03/06/2012 |
| Medicare PECOS PAC ID | 1759537764 |
|---|---|
| Medicare Enrollment ID | O20120807000679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326310459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1752-57 (Wisconsin) | Primary |
| Provider Name | Rondi J Rork |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154377414 PECOS PAC ID: 6901098672 Enrollment ID: I20101013000608 |
Dynamic Potential Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 316 5th St Ste 2, Racine, WI 53403 Phone: 262-308-8085 | |
Aneu Beginning Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 Monarch Dr, Racine, WI 53406 Phone: 262-497-3445 | |
Wellnesshoppe Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 N Memorial Dr, Racine, WI 53404 Phone: 262-504-0241 | |
Krave Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 Charles St, Racine, WI 53402 Phone: 262-744-9510 | |
Christian Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6150 Taylor Avenue, Racine, WI 53403 Phone: 800-438-1772 Fax: 262-293-9737 | |
Mwa Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4425 Taylor Ave, Racine, WI 53405 Phone: 262-554-1400 | |
Professional Services Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Goold St, Racine, WI 53402 Phone: 262-638-2000 Fax: 262-638-2006 |