Danielle Obannon

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1 1/2 W Geneva St
Elkhorn, WI 53121-1722

Phone

(262) 723-3424

NPI assigned

Sep 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Credence Therapy Associates Inc

  dba Credence Therapy Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elkhorn, WI
  • NPI 1487648663
  NPD
• American Behavioral Clinics, SC

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1144313859
  NPD (past)

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1396351789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 1/2 W GENEVA ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211722",
            "telephone_number": "262-723-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 1/2 W GENEVA ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211722",
            "telephone_number": "262-723-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBANNON",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlo Jon Nevicosi, MSW, APSW
• Rugile Nichols, DO
• Janna Fe Notario-Ringwald, MD, MSC
• Anna E Novotny
• Anna Nusbaum, MD
• Terra Marie Olsen
• Angeline Olson, RN
• Kimberly Olson, LPC
• Open Arms Free Clinic
• Steven William Ortell, MD

• Student in an Organized Health Care Education/Training Program in Elkhorn, WI
• Providers in Elkhorn, WI by specialty
• Student in an Organized Health Care Education/Training Program in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.