Active NPI
Cornerstone Psychological Associates, LLC
- Community/Behavioral Health Agency
- Rhinelander, WI
National Provider Identifier
1538417035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CORNERSTONE PSYCHOLOGICAL ASSOCIATES, LLC
- Practice address
- 1415 Eagle St
Rhinelander, WI 54501-2212 - Phone
- (715) 420-1201
- Fax
- (715) 420-1202
- NPI assigned
- Aug 15, 2012
- Last updated
- Sep 20, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sarah Petroskey, MS.; LPC
- Title
- Adminstrator
- Phone
- (715) 420-1201
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4346-125 | WI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1331-132 | WI | |
| Mental Health Counselor | 101YM0800X | 2780-125 | WI | |
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
1415 Eagle St
Rhinelander, WI 54501-2212
Mailing address
PO Box 597
Rhinelander, WI 54501-0597
Phone (715) 420-1201
National Provider Directory
National Provider DirectoryLocations
1415 Eagle St
Rhinelander, WI 54501
Phone (715) 420-1201
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Rhinelander, WI
- NPI 1699094573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348099200000",
"number": "1538417035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 597",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545010597",
"telephone_number": "715-420-1201",
"fax_number": "715-420-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 EAGLE ST",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545012212",
"telephone_number": "715-420-1201",
"fax_number": "715-420-1202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE PSYCHOLOGICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-15",
"last_updated": "2012-09-20",
"status": "A",
"authorized_official_last_name": "PETROSKEY",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "715-420-1201",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS.; LPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "4346-125",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "1331-132",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "2780-125",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rhinelander, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.