Damian A Vraniak, PH.D.
Individual provider Active NPI Psychologist · Springbrook, WI
NPI 1568569705 · NPPES record last updated Apr 1, 2013
Key facts
- NPI
- 1568569705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 885 (WI)
- Practice address
- W3177 Hamilton Rd
Springbrook, WI 54875-9314 - Phone
- (715) 766-2045
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Mental Health Center | Psychologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 885 | WI | Yes |
Addresses
Primary practice location
W3177 Hamilton Rd
Springbrook, WI 54875-9314
Mailing address
W3177 Hamilton Rd
Springbrook, WI 54875-9314
Phone (715) 766-2045
Other providers in Springbrook, WI
All providers in Springbrook, WI · Psychologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.