| Medical Psychology Associates, Inc. | |
|
6110 N Port Washington Rd Glendale WI 53217-4308 | |
| (414) 962-1000 | |
| (414) 963-6866 |
| Full Name | Medical Psychology Associates, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6110 N Port Washington Rd, Glendale, Wisconsin |
| Authorized Official Name and Position | Kelly E Smerz (DIRECTOR/PRESIDENT) |
| Authorized Official Contact | 4149621000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Psychology Associates, Inc. 6110 N Port Washington Rd Glendale WI 53217-4308 Ph: (414) 962-1000 | Medical Psychology Associates, Inc. 6110 N Port Washington Rd Glendale WI 53217-4308 Ph: (414) 962-1000 |
| NPI Number | 1043307598 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 05/07/2013 |
| Medicare PECOS PAC ID | 9133114333 |
|---|---|
| Medicare Enrollment ID | O20040417000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043307598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 2653-057 (Wisconsin) | Primary |
| Provider Name | Kelly E Smerz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477615631 PECOS PAC ID: 3577564723 Enrollment ID: I20070131000010 |
| Provider Name | Paul M Smerz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922168574 PECOS PAC ID: 5890878490 Enrollment ID: I20080205000652 |
| Provider Name | Rosanne K Poe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780890475 PECOS PAC ID: 4486723004 Enrollment ID: I20080521000693 |
| Provider Name | Deborah L Cohen-smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912968314 PECOS PAC ID: 9133281215 Enrollment ID: I20081224000333 |
| Provider Name | Joshua Dolan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639508823 PECOS PAC ID: 1850604190 Enrollment ID: I20150716000358 |
| Provider Name | Alexa Moulopoulos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851068514 PECOS PAC ID: 2163895616 Enrollment ID: I20230302001940 |
| Provider Name | Flora Ripp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780212837 PECOS PAC ID: 1254783483 Enrollment ID: I20240123003535 |
| Provider Name | Elizabeth Katherine Pequet |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356774327 PECOS PAC ID: 2365885316 Enrollment ID: I20240207001855 |
| Provider Name | Rebecca Zimmermann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013369271 PECOS PAC ID: 3072957414 Enrollment ID: I20240214000585 |
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