| Stress Management & Mental Health Clinics | |
|
10201 W Lincoln Ave # 308 West Allis WI 53227-2136 | |
| (414) 329-7000 | |
| (414) 329-7010 |
| Full Name | Stress Management & Mental Health Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 10201 W Lincoln Ave, West Allis, Wisconsin |
| Authorized Official Name and Position | Craig Allan Modell (OWNER) |
| Authorized Official Contact | 4149629156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stress Management & Mental Health Clinics 10201 W Lincoln Ave # 308 West Allis WI 53227-2136 Ph: (414) 329-7000 | Stress Management & Mental Health Clinics 10201 W Lincoln Ave # 308 West Allis WI 53227-2136 Ph: (414) 329-7000 |
| NPI Number | 1003928391 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 02/11/2009 |
| Medicare PECOS PAC ID | 8426954066 |
|---|---|
| Medicare Enrollment ID | O20031212000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003928391 | NPI | - | NPPES |
| 42163900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Maria I Mas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083703060 PECOS PAC ID: 4385625722 Enrollment ID: I20040601000294 |
| Provider Name | Thomas D Marx |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790895233 PECOS PAC ID: 9638130834 Enrollment ID: I20041021000227 |
| Provider Name | David E Holloway |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821195777 PECOS PAC ID: 3779527155 Enrollment ID: I20050616000370 |
| Provider Name | John Peter Jendusa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770691164 PECOS PAC ID: 8527076348 Enrollment ID: I20060405000015 |
| Provider Name | Joseph M Abraham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265544019 PECOS PAC ID: 6103953393 Enrollment ID: I20100420000460 |
| Provider Name | Patricia Modell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962510255 PECOS PAC ID: 6800072935 Enrollment ID: I20110525000310 |
| Provider Name | Denise E Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639278534 PECOS PAC ID: 1850568577 Enrollment ID: I20120120000729 |
| Provider Name | Linda J Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811005119 PECOS PAC ID: 9537065198 Enrollment ID: I20120605000598 |
| Provider Name | Gary M Major |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629167192 PECOS PAC ID: 3072419639 Enrollment ID: I20120801000308 |
| Provider Name | John R Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376632893 PECOS PAC ID: 2567603541 Enrollment ID: I20130802000686 |
| Provider Name | Mary C Bolton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841301066 PECOS PAC ID: 2365780467 Enrollment ID: I20190215000714 |
| Provider Name | John R Ernst |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740355395 PECOS PAC ID: 8729032065 Enrollment ID: I20240416003766 |
| Provider Name | Tana Rodriguez-buck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578047569 PECOS PAC ID: 8820438047 Enrollment ID: I20240503002763 |
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Advancing Abilities Of Wisconsin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10909 W Greenfield Ave, Suite 207, West Allis, WI 53214 Phone: 414-259-0021 Fax: 844-315-9207 | |
Social Rehabilitation And Residential Resources, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9330 W Lincoln Ave Ste 21, West Allis, WI 53227 Phone: 414-546-6880 Fax: 414-546-6234 | |
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