NPIMap

Organization Active NPI

Katz-Gilbertson Psychotherapy Associates, LLC

  • Clinical Psychologist
  • Mequon, WI
National Provider Identifier
1114145539
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1563 Issued in WI
Legal business name
KATZ-GILBERTSON PSYCHOTHERAPY ASSOCIATES, LLC
Practice address
11501 N Port Washington Rd
Suite 218
Mequon, WI 53092-3465
Phone
(262) 240-9620
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mr. Stephen Andrew Gilbertson, LIC PSYCHOLOGISTNPI 1134347016
Title
Co-Director
Phone
(262) 240-9620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1563 WI Primary

Addresses

Primary practice location

11501 N Port Washington Rd
Suite 218
Mequon, WI 53092-3465

Mailing address

11501 N Port Washington Rd
Suite 218
Mequon, WI 53092-3465
Phone (262) 240-9620

National Provider Directory

National Provider Directory

Locations

11501 N Port Washington Rd
Ste 218
Mequon, WI 53092
Phone (262) 240-9620

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1114145539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 N PORT WASHINGTON RD",
            "address_2": "SUITE 218",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923465",
            "telephone_number": "262-240-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 N PORT WASHINGTON RD",
            "address_2": "SUITE 218",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923465",
            "telephone_number": "262-240-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATZ-GILBERTSON PSYCHOTHERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "GILBERTSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "262-240-9620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LIC PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.