- Mental Health Clinic in White Lake, WI

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is a mental health clinic (Psychologist) in White Lake, Wisconsin. The current practice location for is 405 Bissell Street, White Lake, Wisconsin. For appointments, you can reach them via phone at (715) 882-2361. The mailing address for is Po Box 67, 405 Bissell Street, White Lake, Wisconsin and phone number is (715) 882-2361.

is licensed to practice in Wisconsin (license number 079225) and its NPI number is 1467629907. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (715) 882-2361.

Contact Information

405 Bissell Street
White Lake
WI 54491-0067
(715) 882-2361
(715) 882-2914

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityPsychologist
Location405 Bissell Street, White Lake, Wisconsin
Authorized Official Name and PositionDeborah Douglas Wall (DIR OF SPECIAL EDUCATION)
Authorized Official Contact7158822361
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 67
405 Bissell Street
White Lake
WI 54491-0067

Ph: (715) 882-2361
405 Bissell Street
White Lake
WI 54491-0067

Ph: (715) 882-2361

NPI Details:

NPI Number1467629907
Provider Enumeration Date05/14/2008
Last Update Date05/14/2008

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467629907NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 079225 (Wisconsin)Primary
225X00000XOccupational Therapist 065019 (Wisconsin)Secondary
261QP2000XClinic/center - Physical Therapy 605019 (Wisconsin)Secondary

Reviews and Comments

Psychologist in White Lake, WI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.