Plover Psychological Clinic, LLC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

PLOVER PSYCHOLOGICAL CLINIC, LLC

Practice address

2840 Post Rd
Plover, WI 54467-3443

Phone

(715) 347-5570

Fax

(715) 347-5560

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Sharon M Pallen

Title

Executive Manager

Phone

(715) 347-5570

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret E Bach, MSSW

  • Social Worker
  • Plover, WI
  • NPI 1669662904
  NPD (past)
• Kathleen E Ross, LCSW

  • Clinical Social Worker
  • Plover, WI
  • NPI 1932257185
  NPD (past)
• Rachel J Morrisey, PH.D.

  • Clinical Psychologist
  • Little Rock, AR
  • NPI 1861540015
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356489256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 POST RD",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544673443",
            "telephone_number": "715-347-5570",
            "fax_number": "715-347-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 POST RD",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544673443",
            "telephone_number": "715-347-5570",
            "fax_number": "715-347-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLOVER PSYCHOLOGICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALLEN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "715-347-5570"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42243400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack William Pamperin
• Paige Parr
• Plover Chiropractic Center
• Plover Chiropractic Center SC
• Plover Hometown Pharmacy LLC
• Leo Orval Powers, DC
• Jennifer Lee Pray, RN
• Mary Gabriel Priestley, APSW
• Janelle Prince, LCSW
• Quirt Family Dentistry, SC

• All providers in Plover, WI
• Group Psychotherapy Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.