DR. PATRICIA CAROL STANIK

Address: 2448 S 102nd St, Suite 270, West Allis, WI 53227-2466
Phone: 4148007645

DR. PATRICIA CAROL STANIK (NPI# 1609956242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609956242
Entity Type Individual
Full Name DR. PATRICIA CAROL STANIK
Credential PHD
Practice Address 2448 S 102nd St
Suite 270
West Allis
WI 53227-2466
Mailing Address 2448 S 102nd St
Suite 201
West Allis
WI 53227-2466
Practice Telephone 4148007645
Practice Fax Number 4148007647
Enumeration Date 2006-10-17
Last Update Date 2016-08-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103G00000X Clinical Neuropsychologist 1998 WI Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
1998 WI Behavioral Health & Social Service Providers
N 103TR0400X Psychologist
Specialization: Rehabilitation
1998 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI STATE LICENSE 1998 01

Office Location

Street Address 2448 S 102ND ST
SUITE 270
City WEST ALLIS
State WI
Zip Code 53227-2466

Providers in the same location

NPI Name Address
1932502325 ANDREW JOHN SIEVILA 2448 S 102nd St, Suite 200, West Allis, WI 53227-2466
1922550243 PATRICIA C STANIK PHD LLC 2448 S 102nd St, Ste 270, West Allis, WI 53227-2466
1033562434 KATY MARIE SCHMIDT 2448 S 102nd St, #270, West Allis, WI 53227-2466
1255432696 DR. NATHAN DAVID GLASSMAN 2448 S 102nd St, Suite #270, West Allis, WI 53227-2466
1275930919 GLASSMAN NEUROPSYCHOLOGY ASSOCIATES LLC 2448 S 102nd St, Suite 270, West Allis, WI 53227-2466
1144592551 JOY SIMMONS 2448 S 102nd St, Suite 340, West Allis, WI 53227-2466
1376645366 CAROL WILTSE POTTS 2448 S 102nd St, Suite 270, West Allis, WI 53227-2466
1982849543 DR. CAROL GAINES 2448 S 102nd St, Suite 270, West Allis, WI 53227-2466
1265685093 WEST SIDE NEUROLOGY SC 2448 S 102nd St, Ste 125, West Allis, WI 53227-2466
1407982879 DR. DEBORAH L LEMKE 2448 S 102nd St, Ste 270, West Allis, WI 53227-2466

Competitor

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City WEST ALLIS
Zip Code 53227

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.