Harbor Community Psychological Associates SC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1598-057 Issued in WI

Legal business name

HARBOR COMMUNITY PSYCHOLOGICAL ASSOCIATES SC

Practice address

2701 Larsen Rd
Green Bay, WI 54303-4863

Phone

(920) 606-8734

Fax

(866) 201-3050

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Barbara Ann Roos, CPC

Title

Billing Manager

Phone

(630) 541-5040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Bonnie L Groessl, MSN

  • Pain Management Registered Nurse
  • Green Bay, WI
  • NPI 1528170982
  NPD (past)
• Andrea Labine, PH.D.

  • Clinical Psychologist
  • Green Bay, WI
  • NPI 1952526352
  NPD (past)
• Mark C. Feinstein, D.O.

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1033176755
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1720132806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5714",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541155714",
            "telephone_number": "920-606-8734",
            "fax_number": "866-201-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 LARSEN RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034863",
            "telephone_number": "920-606-8734",
            "fax_number": "866-201-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR COMMUNITY PSYCHOLOGICAL ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "ROOS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "630-541-5040",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1598-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "84700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Busch Hanson, LPC
• Maria Catherine Hanstedt, MA, CCC/SLP
• Ravindra Hanumaiah, M.D.
• Jennah A.L. Haque, APNP
• Kara H Harbick, MD
• Harbor Health and Wellness LLC
• Lourica Ellis Hardin, HEALTH EDUCATOR
• Judith A Harding, APNP
• Barbara A. Harkness, M.D.
• Christine Lee Harkness, SLP

• Clinical Psychologist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.