Great Lakes Mental Health Center

Primary specialty

PsychologistTaxonomy code 103T00000X

License

885 Issued in WI

Legal business name

GREAT LAKES MENTAL HEALTH CENTER

Practice address

15910 W Company Lake Rd
Hayward, WI 54843-5320

Phone

(715) 790-2100

NPI assigned

Feb 26, 2010

Last updated

Feb 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Damian Vraniak, PHDNPI 1568569705

Title

Licensed Psychologist

Phone

(715) 790-2100

Specialties & licenses 2

Addresses

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.

• Damian A Vraniak, PH.D.

  • Psychologist
  • Springbrook, WI
  • NPI 1568569705
  NPD (past) Authorized official

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1609198027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3177 HAMILTON RD",
            "city": "SPRINGBROOK",
            "state": "WI",
            "postal_code": "548759314",
            "telephone_number": "715-790-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15910 W COMPANY LAKE RD",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548435320",
            "telephone_number": "715-790-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "VRANIAK",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "715-790-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4339125",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Goethlich, PTA
• Lisa M Gowey-Fischer, APNP
• Paul G Grahovac, MSSW, LCSW
• Joseph Bradley Granica, RDH
• Charles Gray, PT
• Theresa Groeschl
• Taylor Rose Haack
• Gloria Hagberg
• Loretta Jeanne Hammerel, RN
• Hansen Family Chiropractic LLC

• Psychologist in Hayward, WI
• Providers in Hayward, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.