Nina Frances Albanese-Kotar, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2858-057 Issued in WI

Practice address

2925 Mondovi Rd
Eau Claire, WI 54701-6141

Phone

(715) 832-0238

Fax

(715) 832-0771

NPI assigned

May 27, 2010

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 1

Other names 1

• Nina Frances Albanese Former name

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

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nina.albanese-kotar.1@30520.direct.athenahealth.com

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.

• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  WI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1700105855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 MONDOVI RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016141",
            "telephone_number": "715-832-0238",
            "fax_number": "715-832-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 MONDOVI RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016141",
            "telephone_number": "715-832-0238",
            "fax_number": "715-832-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBANESE-KOTAR",
        "first_name": "NINA",
        "middle_name": "FRANCES",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "2858-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHD DEGREE",
            "identifier": "2858-057",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "ALBANESE",
            "middle_name": "FRANCES",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Akim, RN
• Boshra Al Ibraheem, MD
• Eyad S Al-Hattab, MD
• Hussam Ziad Al-Sharif, MD
• Now Bahar Alam, MD
• Emily Alberg, CSW
• Kay M Alberg, RD
• Brianna Albers, MSW, LCSW
• Kamry Ryann Albrecht
• Samantha Albrecht, DPT

• Counseling Psychologist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Counseling Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.