| Dr Shamin Catherine Jaffer Ladhani, PSYD | |
|
1320 Wisconsin Ave, Racine, WI 53403-1978 | |
| (262) 687-2699 | |
| (262) 687-2836 |
| Full Name | Dr Shamin Catherine Jaffer Ladhani |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 1320 Wisconsin Ave, Racine, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437377900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2969-057 (Wisconsin) | Primary |
| 103TC0700X | Psychologist - Clinical | (Illinois) | Secondary |
| Entity Name | Ascension All Saints Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639123284 PECOS PAC ID: 4880504935 Enrollment ID: O20031104000055 |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shamin Catherine Jaffer Ladhani, PSYD 432 Pacific Ct, Wheeling, IL 60090-5154 Ph: (847) 873-0398 | Dr Shamin Catherine Jaffer Ladhani, PSYD 1320 Wisconsin Ave, Racine, WI 53403-1978 Ph: (262) 687-2699 |
Dr. Russell William Kinkade Jr., PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6214 Washington Avenue, Suite C 10, Racine, WI 53406 Phone: 262-989-5228 | |
Dr. Anthony Donald Wendorf, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 840 Lake Avenue, Suite 101, Racine, WI 53403 Phone: 262-634-8688 Fax: 262-634-7547 | |
Dr. Tammy Lynn Zimmel, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3701 Durand Ave, Suite 325, Racine, WI 53405 Phone: 262-554-9846 Fax: 262-598-9032 | |
Dr. Rondi J Rork, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6015 Durand Ave, Ste 450, Racine, WI 53406 Phone: 262-884-4848 Fax: 262-886-6643 | |
Dr. Marie M Miller, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3701 Durand Ave, Suite 325, Racine, WI 53405 Phone: 262-496-4277 | |
D Martin Hayden, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 840 Lake Ave, Racine, Racine, WI 53403 Phone: 262-634-8688 Fax: 262-634-7547 | |
Marilyn S Befera-zielinski, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1244 Wisconsin Ave, Suite 303, Racine, WI 53403 Phone: 262-635-5520 Fax: 262-635-5530 |