Childhood Autism Therapies LLC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

2387-57 Issued in WI

Legal business name

CHILDHOOD AUTISM THERAPIES LLC

Practice address

N1563 County Road H
Palmyra, WI 53156-9738

Phone

(262) 370-5527

Fax

(262) 495-8689

NPI assigned

Jan 22, 2010

Last updated

Jan 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Colleen A Ryan, PHDNPI 1225368723

Title

Director

Phone

(262) 370-7744

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Colleen A Ryan, PHD

  • Cognitive & Behavioral Psychologist
  • Palmyra, WI
  • NPI 1225368723
  NPD (past) Authorized official

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1144551664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1563 COUNTY ROAD H",
            "city": "PALMYRA",
            "state": "WI",
            "postal_code": "531569738",
            "telephone_number": "262-370-5527",
            "fax_number": "262-495-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N1563 COUNTY ROAD H",
            "city": "PALMYRA",
            "state": "WI",
            "postal_code": "531569738",
            "telephone_number": "262-370-5527",
            "fax_number": "262-495-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDHOOD AUTISM THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "262-370-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "WI",
            "license": "2387-57",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WI",
            "license": "2387-57",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Arend
• Amy Theresa Belling, M.B.S.
• Joann Louise Browne, FNP-C
• Danae Bump, LSW
• Marcia Anne Catlett, LCPC, LPC, MA, MED
• Connected Wellness Clinic, LLC
• Beth Curtis, OTR
• Jessica Fenwick
• Cortney Higgins
• Kettle Moraine Behavioral Health

• Cognitive & Behavioral Psychologist in Palmyra, WI
• Providers in Palmyra, WI by specialty
• Cognitive & Behavioral Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.