Individual provider Active NPI

Augustine Kalemeera, PHD

  • Marriage & Family Therapist
  • Racine, WI
National Provider Identifier
1013190164
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1106-123 Issued in WI
Practice address
2711 19TH St
Racine, WI 53403-2314
Phone
(262) 637-8888
Fax
(262) 637-0695
NPI assigned
Dec 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1106-123 WI Primary

Addresses

Primary practice location

2711 19TH St
Racine, WI 53403-2314

Mailing address

2711 19TH St
Racine, WI 53403-2314
Phone (262) 637-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1106-123WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Archdiocese of Milwaukee Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1013190164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 19TH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032314",
            "telephone_number": "262-637-8888",
            "fax_number": "262-637-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 19TH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032314",
            "telephone_number": "262-637-8888",
            "fax_number": "262-637-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALEMEERA",
        "first_name": "AUGUSTINE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1106-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.