Jeffrey L Garbelman, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2736057 Issued in WI

Practice address

108 N Lincoln Ave
Beaver Dam, WI 53916

Phone

(920) 887-8751

NPI assigned

Jul 7, 2006

Last updated

Sep 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affiliated Counseling Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beaver Dam, WI
  • NPI 1164568879
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1235161373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 E MAIN ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "53094",
            "telephone_number": "920-324-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N LINCOLN AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "53916",
            "telephone_number": "920-887-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBELMAN",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3643125",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2736057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41001600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles W Frinak, MD
• Brittany Nicole Froeming, CNM
• Nick Gaffney, PTA
• Lorena Galvan
• Joseph Ganske, PT
• Jennifer Garde, L.AC.
• Nicole Lee Gates, DPT
• Julie Geigner, RDH
• Paula Marie Gella, OTR OTRL
• Generations Chiropractic of Wi LLC

• Psychologist in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.