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MICHAEL J MOLLER PA NPI 1992000657


NPI Information

NPI: 1992000657
Provider Name: MICHAEL J MOLLER PA
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
900 6TH ST N
SUITE 102
HUDSON, WI
ZIP 54016
Phone: (715) 386-0856
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MICHAEL J MOLLER PA is a psychologist in Hudson, WI. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. MICHAEL J MOLLER PA NPI is 1992000657. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

900 6TH ST N
SUITE 102
HUDSON, WI
ZIP 54016-171
Phone: (715) 386-0856
Fax: (715) 386-0948

The provider's authorized official is Michael J Moller .
The authorized official title is Owner and has the following contact phone number (715) 386-0856.

The enumeration date for this NPI number is 1/11/2011 and was last updated on 1/11/2011.


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
1103T00000XPsychologistLP3404MINNESOTANo
2103TA0700XPsychologistAdult Development & Aging2320-057WISCONSINNo
3103TB0200XPsychologistCognitive & Behavioral2320-057WISCONSINNo
4103TB0200XPsychologistCognitive & BehavioralLP3404MINNESOTANo
5103TC0700XPsychologistClinical2320-057WISCONSINNo
6103TC0700XPsychologistClinicalLP3404MINNESOTANo
7103TC1900XPsychologistCounseling2320-057WISCONSINNo
8103TC2200XPsychologistClinical Child & Adolescent2320-057WISCONSINNo
9103TC2200XPsychologistClinical Child & AdolescentLP3404MINNESOTANo
10103TF0000XPsychologistFamily2320-057WISCONSINNo
11103TF0200XPsychologistForensic2320-057WISCONSINNo
12103TF0200XPsychologistForensicLP3404MINNESOTANo
13103TP0814XPsychologistPsychoanalysis2320-057WISCONSINNo
14103TP0814XPsychologistPsychoanalysisLP3404MINNESOTANo
15103T00000XPsychologist2320-057WISCONSINYes

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
1880824400MEDICAIDMINNESOTA
239739300MEDICAIDWISCONSIN
31578647004MEDICARE PINWISCONSIN

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: 4/28/2024

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