Arbor Mental Health Center

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ARBOR MENTAL HEALTH CENTER

Practice address

500 N 3Rd St Ste 22O
Wausau, WI 54403-4885

Phone

(715) 204-4260

NPI assigned

May 25, 2020

Organization subpart

No

Name

Kristina M. MaukNPI 1780191973

Title

Ceo/Owner

Phone

(715) 575-1421

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

• Kristina M. Mauk, LPC, SAC-IT

  • Professional Counselor
  • Wausau, WI
  • NPI 1780191973

  Professional

  NPD Authorized official
• Chad Macmillan

  • Clinical Neuropsychologist
  • Wausau, WI
  • NPI 1932688595
  NPD
• Kimberly K Walker-Daniels, DNP-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Green Bay, WI
  • NPI 1326442070
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2023.

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1366065351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N 3RD ST STE 220",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034857",
            "telephone_number": "715-204-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N 3RD ST STE 22O",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034885",
            "telephone_number": "715-204-4260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 International Ln Ste 106",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537043151",
            "country_code": "US",
            "telephone_number": "715-204-4260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARBOR MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2023-01-10",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "MAUK",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "715-575-1421"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902349509",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720275530",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780191973",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hspranger@arborcenter.org",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text based email",
            "address_1": "500 N 3rd St",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544034885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Andrews, DO
• Colleen Angel, LPC-IT
• Leslie Anklam, PHARMD
• Shamim Anwar, MD
• Jolene E Appiah, MOT, OTR/L
• Rebeca Argiro, LPC
• Miranda Copa Armstrong, M.S. CCC-SLP
• Cara Anne Arrowood
• Lacy Joyce Arrowood, APNP
• Ascension Medical Group-Northern Wisconsin, Inc

• All providers in Wausau, WI
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.