Colleen J O'Rourke, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

26694-20 Issued in WI

Practice address

421 Nebraska St
Sturgeon Bay, WI 54235-2225

Phone

(920) 746-7155

Fax

(920) 746-2439

NPI assigned

Dec 13, 2006

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

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cambridge Counseling Clinic Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cambridge, WI
  • NPI 1841374691
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1568523330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 NEBRASKA ST",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352225",
            "telephone_number": "920-746-7155",
            "fax_number": "920-746-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NEBRASKA ST",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352225",
            "telephone_number": "920-746-7155",
            "fax_number": "920-746-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "COLLEEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "26694-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE INSURANCE",
            "identifier": "OROURCOL-MO",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEANHEALTH PLAN",
            "identifier": "1568523330",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSWI",
            "identifier": "1568523330",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30669800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568523330",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William G Nick, LCSW
• Ruth Norton, CDE
• NSH Dorchester LLC
• Danielle Nyman, MSW, APSW
• Shannon O'Hern, DPT
• Sai Oak, OD
• Kristina Ohley, PHARMD
• Jennifer K Olson, D.D.S
• Kali Jean Olson, MD, MPH
• Kelly J Oram-Rankin, OTR

• Psychiatry Physician in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.