Sundance Psychological

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SUNDANCE PSYCHOLOGICAL

Practice address

2920 East Ave S Ste 100
La Crosse, WI 54601-8282

Phone

(608) 218-4234

NPI assigned

Aug 8, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Meganruth Christine Schumacher-Martinez, PHDNPI 1013763507

Title

Owner

Phone

(608) 218-4234

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meganruth Christine Schumacher-Martinez, LP

  • Psychologist
  • La Crosse, WI
  • NPI 1013763507
  NPD Authorized official

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1700617123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 EAST AVE S STE 100",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546018282",
            "telephone_number": "608-218-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 EAST AVE S STE 100",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546018282",
            "telephone_number": "608-218-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "SCHUMACHER-MARTINEZ",
        "authorized_official_first_name": "MEGANRUTH",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-218-4234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humbert G Sullivan, MD
• Lisa A Sullivan, APNP
• Mary K Sullivan, LPC
• Wendy Kathleen Sullivan, NP
• Kent D Summerfield, OD
• Rajah S Sundaram, MD
• Colton Steele Surek
• Gary A Susag, MD
• Teresa M Susmaras, PHD
• Piraon Sutthiwan, M.D.

• Psychologist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.