Inner Resources Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1434 Issued in WI

Legal business name

INNER RESOURCES INC.

Practice address

12545 W Burleigh Rd
Suite 1
Brookfield, WI 53005-3101

Phone

(262) 789-7100

NPI assigned

Jul 22, 2006

Last updated

Jan 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Laura Lynn Pauly, PHD.NPI 1871530162

Title

Owner

Phone

(262) 789-7100

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Lynn Pauly, PHD

  • Psychologist
  • Brookfield, WI
  • NPI 1871530162
  Medicare reassignment NPD Authorized official
• Mike Konieczka, LCSW

  • Social Worker
  • Brookfield, WI
  • NPI 1871632752
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1932120029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12545 W BURLEIGH RD",
            "address_2": "SUITE 1",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053101",
            "telephone_number": "262-789-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12545 W BURLEIGH RD",
            "address_2": "SUITE 1",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053101",
            "telephone_number": "262-789-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER RESOURCES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "PAULY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-789-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42188100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000088102",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald T. Inden, M.D.
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• Miles Edward Inhofer, C.AC., MAOM
• Injury Rehabilitation Clinic II, Inc.
• Inner Bloom Therapy LLC
• Integrata LLC
• Integrative Family Wellness Center, LLC
• Interra Health Inc. (Three Waves InHealth Clinic and Wellness Center)
• Ipack Pharmacy LLC (Ipack Pharmacy)
• Ivan Andrew Ireland, MD

• Psychologist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.