NPIMap

Organization Active NPI

Connections for Growth, Psychology Associates

  • Psychologist
  • Racine, WI
National Provider Identifier
1326469750
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1302-057 Issued in WI
Legal business name
CONNECTIONS FOR GROWTH, PSYCHOLOGY ASSOCIATES
Practice address
5200 Washington Ave
Suite 203
Racine, WI 53406-4238
Phone
(262) 637-8488
Fax
(262) 637-8488
NPI assigned
Jan 3, 2014
Last updated
Jan 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Dr. Rosanne Katherine Poe, PSY.D.NPI 1780890475
Title
Psychologist
Phone
(262) 492-2474

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
Psychologist 103T00000X 1302-057 WI Primary

Addresses

Primary practice location

5200 Washington Ave
Suite 203
Racine, WI 53406-4238

Mailing address

N6404 East Paradise Rd
Burlington, WI 53105-2632
Phone (262) 637-8488

Other identifiers 1

IdentifierTypeStateIssuer
39083800MedicaidWI

National Provider Directory

National Provider Directory

Locations

5200 Washington Ave
Ste 203
Racine, WI 53406
Phone (262) 637-8488

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1326469750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6404 EAST PARADISE RD",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531052632",
            "telephone_number": "262-637-8488",
            "fax_number": "262-637-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WASHINGTON AVE",
            "address_2": "SUITE 203",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064238",
            "telephone_number": "262-637-8488",
            "fax_number": "262-637-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS FOR GROWTH, PSYCHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "ROSANNE",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "262-492-2474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1302-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39083800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.