Alla Y Likhterev, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

37144 Issued in WI

Practice address

Winnebago Mental Health Institute 1300 South Drive
Winnebago, WI 54985-0009

Phone

(920) 235-4910

Fax

(920) 236-2931

NPI assigned

Dec 12, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295896454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WINNEBAGO MENTAL HEALTH INSTITUTE1300 SOUTH DRIVE",
            "address_2": "1300 SOUTH DRIVE",
            "city": "WINNEBAGO",
            "state": "WI",
            "postal_code": "549850009",
            "telephone_number": "920-235-4910",
            "fax_number": "920-236-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WINNEBAGO MENTAL HEALTH INSTITUTE 1300 SOUTH DRIVE",
            "city": "WINNEBAGO",
            "state": "WI",
            "postal_code": "549850009",
            "telephone_number": "920-235-4910",
            "fax_number": "920-236-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIKHTEREV",
        "first_name": "ALLA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "37144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32282700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "37144",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Kerswill, MD
• Andrew Kordus, DO
• Margaret Lehnert, M..D.
• Katelyn Lois Lenz, PMHNP-BC
• Anthony M Lichtfuss, LCSW
• Donald Ervin Linneman, D.D.S.
• Thomas Michlowski
• Konstantin A Mikheyev, DO
• Eric Monticello, APRN,CNP
• C Harold Mork, M.D.

• Psychiatry Physician in Winnebago, WI
• Providers in Winnebago, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.