| New Frontiers Psychiatric Sc | |
|
2675 N Mayfair Rd Ste 400 Milwaukee WI 53226-1305 | |
| (414) 763-6910 | |
| (414) 763-6911 |
| Full Name | New Frontiers Psychiatric Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2675 N Mayfair Rd Ste 400, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Hong Yin (PRESIDENT) |
| Authorized Official Contact | 4147636910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Frontiers Psychiatric Sc 2675 N Mayfair Rd Ste 400 Milwaukee WI 53226-1305 Ph: (414) 763-6910 | New Frontiers Psychiatric Sc 2675 N Mayfair Rd Ste 400 Milwaukee WI 53226-1305 Ph: (414) 763-6910 |
| NPI Number | 1003390394 |
|---|---|
| Provider Enumeration Date | 09/21/2018 |
| Last Update Date | 10/23/2018 |
| Medicare PECOS PAC ID | 7416201058 |
|---|---|
| Medicare Enrollment ID | O20181116001317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003390394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mindas V Siliunas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417976747 PECOS PAC ID: 4688695232 Enrollment ID: I20051212000489 |
| Provider Name | Heidi Heimler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972613016 PECOS PAC ID: 8820007891 Enrollment ID: I20060419000596 |
| Provider Name | Lisa Marie Collingwood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134158751 PECOS PAC ID: 6507840527 Enrollment ID: I20140117000847 |
| Provider Name | Olivia Bruss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518361187 PECOS PAC ID: 3577885789 Enrollment ID: I20141125000856 |
| Provider Name | Christina M Brigham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467796433 PECOS PAC ID: 7113244872 Enrollment ID: I20150318001303 |
| Provider Name | Hong Yin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669780060 PECOS PAC ID: 6103145743 Enrollment ID: I20160719001362 |
| Provider Name | David Radovich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649588872 PECOS PAC ID: 4486922994 Enrollment ID: I20170623001767 |
| Provider Name | Abigail I Ruh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235508748 PECOS PAC ID: 2466713748 Enrollment ID: I20180301000561 |
| Provider Name | Sarah V Hoerl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134502743 PECOS PAC ID: 0749544500 Enrollment ID: I20180502000486 |
| Provider Name | Joanna R Love |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366741480 PECOS PAC ID: 3375881642 Enrollment ID: I20190212000590 |
| Provider Name | Marian G Obrien-frigo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518992650 PECOS PAC ID: 8224370747 Enrollment ID: I20190503000212 |
| Provider Name | Courtney J Weston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184268229 PECOS PAC ID: 9133552177 Enrollment ID: I20191205002630 |
| Provider Name | Leticia G Vallejo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477114304 PECOS PAC ID: 1355776139 Enrollment ID: I20200124001968 |
| Provider Name | Leah L O'reilly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366823635 PECOS PAC ID: 1153758669 Enrollment ID: I20200224000305 |
| Provider Name | Domantas Mikonis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891149944 PECOS PAC ID: 9436495066 Enrollment ID: I20201016001195 |
| Provider Name | Jennifer Ha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093008666 PECOS PAC ID: 5092078758 Enrollment ID: I20210824003470 |
| Provider Name | Lori Ann Garfinkel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619558806 PECOS PAC ID: 6305231846 Enrollment ID: I20220318000789 |
| Provider Name | Kavitha Dharmalingam Venkateswaran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023655362 PECOS PAC ID: 9638548472 Enrollment ID: I20221216002040 |
| Provider Name | Brian Michael Flynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790021897 PECOS PAC ID: 7810360955 Enrollment ID: I20230310000741 |
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