Resilient Journey, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

RESILIENT JOURNEY, LLC

Practice address

13500 Watertown Plank Rd Ste 102
Elm Grove, WI 53122-2222

Phone

(847) 340-5785

NPI assigned

Mar 7, 2023

Organization subpart

No

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

Authorized official

Name

Donald Roth, PSYD, APNP

Title

Owner

Phone

(847) 340-5785

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1649970757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 9TH AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531723216",
            "telephone_number": "847-340-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 WATERTOWN PLANK RD STE 102",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222222",
            "telephone_number": "847-340-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT JOURNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-340-5785",
        "authorized_official_credential": "PSYD, APNP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jelanny Ramirez Pavon
• Arthur Dudley Rapkin, O.M.D.
• Lana Rasmuaaen
• Red Oak Counseling, LTD.
• Amy Beth Reno, MS SLP CCC
• Marcia JS Richards, M.D.
• Ivanna M Richardson, EDD LMFT LPC
• Leah Jo Richmond, LPC, CEAP
• Doreen Ann Robak, PTA
• Paula Roppuld, RPH

• Psychologist in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.