Angela Ellen Pruess

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

848124 Issued in WI

Practice address

W156N8327 Pilgrim Rd
302
Menomonee Falls, WI 53051-3776

Phone

(262) 251-1112

Fax

(262) 251-1113

NPI assigned

Oct 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clinical Psychology Associates

  • Mental Health Counselor
  • Menomonee Falls, WI
  • NPI 1306058920
  NPD (past)

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1124279062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W156N8327 PILGRIM RD",
            "address_2": "#302",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513776",
            "telephone_number": "262-251-1112",
            "fax_number": "262-251-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W156N8327 PILGRIM RD",
            "address_2": "302",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513776",
            "telephone_number": "262-251-1112",
            "fax_number": "262-251-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUESS",
        "first_name": "ANGELA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "848124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Presbyterian Homes of Wisconsin, Inc.
• Zane P. Prewitt, M.D.
• Private Healthcare Facilities
• Prohealth Medical Group Inc
• Katie L Prucha, APNP
• Matthew Thomas Pruhs
• Kamaljit Puri, M.D.
• Purity Dialysis Centers, Inc
• Nourine Khaled Mohamed Abdel Qassem, PHARMACIST
• Tommy Ha Quach, CAA

• Marriage & Family Therapist in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.