Organization Active NPI

Cornerstone Psychological Associates, LLC

  • Community/Behavioral Health Agency
  • Rhinelander, WI
National Provider Identifier
1538417035
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.