NEUROBEHAVIORAL HEALTH CLINIC
NPI 1245425354
Clinical Neuropsychologist in Glendale, WI

NPI Status: Active since September 11, 2007

Contact Information

6110 N PORT WASHINGTON RD
GLENDALE, WI
ZIP 53217
Phone: (414) 803-0231

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  • Organization
  • Clinical Neuropsychologist

About NEUROBEHAVIORAL HEALTH CLINIC

This page provides the complete NPI Profile along with additional information for Neurobehavioral Health Clinic, a provider established in Glendale, Wisconsin operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1245425354 assigned on September 2007. The practitioner's primary taxonomy code is 103G00000X with license number 2478 (WI). The provider is registered as an organization and their NPI record was last updated 18 years ago. Neurobehavioral Health Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kimberly M Rennie Phd (Owner)

NPI
1245425354
Provider Name
NEUROBEHAVIORAL HEALTH CLINIC
Entity Type
Organization
Location Address
6110 N PORT WASHINGTON RD GLENDALE, WI 53217
Location Phone
(414) 803-0231
Mailing Address
419 W RIVER FRONT DR GLENDALE, WI 53217
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2007
Last Update Date
09-11-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
2478
License State
WI
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

2478 (WI)
2103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

2478 (WI)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLY M RENNIE PHD

Authorized Official Title
OWNER
Authorized Official Phone
(414) 803-0231

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245425354
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22858210310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 8 + 2 + 1 + 0 + 3 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1245425354 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477615631DR. KELLY ELIZABETH SMERZ PH.D.
Individual
Psychologist (Clinical)6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 962-1000
1043376734 TED TERRY BRUCE MSW LICSW
Individual
Psychologist (Counseling)6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 332-7400
1215094917DR. MERVIN R SMUCKER PH.D.
Individual
Psychologist (Clinical)6110 N PORT WASHINGTON RD
MILWAUKEE, WI 53217
(414) 403-4949
1164573804DR. VIRGINIA LOUISE DOTSON PH.D.
Individual
Psychologist (Counseling)6110 N PORT WASHINGTON RD
MILWAUKEE, WI 53217
(414) 332-2074
1669525259MS. WENDY SUE SCHUSTER MSW
Individual
Social Worker6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 332-7400
1245386739 THOMAS TROAST PHD
Individual
Psychologist (Group Psychotherapy)6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 771-9304
1780892026DR. MARTY SAPP ED.D.
Individual
Psychologist (Cognitive & Behavioral)6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 229-6347
1902093289THE CAMBRIDGE GROUP
Organization
Community/Behavioral Health6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 332-7400
1477871267MS. JANET HELEN MCCLINTOCK RN, MSN, LPC, MS
Individual
Counselor (Professional)6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 704-4560
1912093162MR. FRANK PAUL URTZ PHD
Individual
Psychologist (Cognitive & Behavioral)6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 332-3390
1558586016CLEAR DIRECTION PSYCHOLOGICAL SERVICES, INC.
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 332-3390
1043307598MEDICAL PSYCHOLOGY ASSOCIATES, INC.
Organization
Clinic/Center (Adult Mental Health)6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 962-1000
1982000758MEDICAL PSYCHOLOGY ASSOCIATES
Organization
Psychologist (Clinical)6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 962-1000
1932146172DR. DIANE MARIE MOSNIK PH.D.
Individual
Clinical Neuropsychologist6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 962-1000
1205388600 KATE HALBACH LPC
Individual
Counselor (Professional)6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 962-1000
1013369271 REBECCA ZIMMERMANN PSY.D., LPC
Individual
Counselor (Mental Health)6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 962-1000
1902317993 CHERYL ANN HONEYCUTT
Individual
Registered Nurse6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 212-8832
1922168574DR. PAUL MARLIN SMERZ PH.D.
Individual
Psychologist (Clinical)6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 332-7400
1639508823DR. JOSHUA JAMES DOLAN PH.D.
Individual
Psychologist (Clinical)6110 N PORT WASHINGTON RD
MILWAUKEE, WI 53217
(414) 962-1000
1851068514 ALEXA MOULOPOULOS PSYD, LP
Individual
Psychologist (Clinical)6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
(414) 962-1000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245425354, enumerated in the NPI registry as an "organization" on September 11, 2007

The provider is located at 6110 N Port Washington Rd Glendale, Wi 53217 and the phone number is (414) 803-0231

This medical organization specializes in Clinical Neuropsychologist with taxonomy code 103G00000X

This NPI record was last updated on September 11, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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