Nadia S Damm, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2745-057 Issued in WI

Practice address

10855 W Potter Rd Ste 21
Wauwatosa, WI 53226-3439

Phone

(414) 407-6664

NPI assigned

Aug 23, 2008

Last updated

Aug 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Center for Christian Counseling, Consultation and Training Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1073703997
  Medicare reassignment NPD
• Mind Body Program LLC

  • Professional Counselor
  • Juneau, WI
  • NPI 1205084118
  NPD (past)

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

{
    "created_epoch": "1219449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219449600000",
    "number": "1548417389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 W STATE ST APT 727",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532134604",
            "telephone_number": "414-491-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10855 W POTTER RD STE 21",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263439",
            "telephone_number": "414-407-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMM",
        "first_name": "NADIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-23",
        "last_updated": "2008-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "WI",
            "license": "2745-057",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2745-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Cusack, APSW
• Abigail Czarnecki, APNP
• Jennifer Lynn Moker Czubakowski, RN
• David G Dai, M.O.D, L.AC
• Jodie Marie Daley, RTR
• Lee Damsky, APRN-NP
• Judy A Danek, RN
• John E Daniels, MD
• Jennifer Elizabeth Darling, CRNA
• Suhas Dasari, MD

• Clinical Psychologist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.