Ana Isabel Becerra, PSY.D.
Individual provider Active NPI Clinical Psychologist · Madison, WI
NPI 1831604032 · NPPES record last updated Dec 28, 2017
Key facts
- NPI
- 1831604032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3520-57 (WI)
- Practice address
- 2317 International LN Ste 119
Madison, WI 53704-3154 - Phone
- (608) 467-8870
- Fax
- (608) 467-6735
- NPI assigned
- Dec 10, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3520-57 | WI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Psychological Consultants, LLC | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3520-57 | WI | Yes |
Addresses
Primary practice location
2317 International LN Ste 119
Madison, WI 53704-3154
Mailing address
2317 International LN Ste 119
Madison, WI 53704-3154
Phone (608) 467-8870
Other providers in Madison, WI
- Peter A Beatty
- Robin R Beatty
- Jacqueline Beaudet
- Alexandra Nicole Beaudry
- Janet R Beaver
- Aracely Becerra
- Catherine Becerra
- Sandra Becerra
- Alana Bechler
- Anna C Beck
All providers in Madison, WI · Clinical Psychologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.