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ARBOR MENTAL HEALTH CENTER NPI 1366065351


NPI Information

NPI: 1366065351
Provider Name: ARBOR MENTAL HEALTH CENTER
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
500 N 3RD ST
WAUSAU, WI
ZIP 54403
Phone: (715) 297-3827
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ARBOR MENTAL HEALTH CENTER is a clinical psychologist in Wausau, WI. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. ARBOR MENTAL HEALTH CENTER NPI is 1366065351. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

500 N 3RD ST
WAUSAU, WI
ZIP 54403-885
Phone: (715) 297-3827

The provider's authorized official is Kristina M. Mauk .
The authorized official title is Ceo/owner and has the following contact phone number (715) 297-3827.

The enumeration date for this NPI number is 5/25/2020 and was last updated on 7/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
2103TC0700XPsychologistClinicalYes
3103TC1900XPsychologistCounselingNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11720275530MEDICAIDWISCONSIN
21902349509MEDICAIDWISCONSIN
31780191973MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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