THE PRICE DECKER CLINIC NPI 1225194186

NPI Information

NPI: 1225194186
Provider Name: THE PRICE DECKER CLINIC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
21 S BROWN ST
SUITE B
RHINELANDER, WI
ZIP 54501
Phone: (715) 362-5437
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THE PRICE DECKER CLINIC is a mental health counselor in Rhinelander, WI. THE PRICE DECKER CLINIC NPI is 1225194186. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21 S BROWN ST
SUITE B
RHINELANDER, WI
ZIP 54501-450
Phone: (715) 362-5437

The provider's authorized official is Theresa Price Decker .
The authorized official title is Owner Therapist and has the following contact phone number (715) 362-5437.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	2780-125	WISCONSIN	Yes
2	101YM0800X	Counselor	Mental Health	3361-125	WISCONSIN	X
3	101YM0800X	Counselor	Mental Health	2170-123	WISCONSIN	X
4	101YM0800X	Counselor	Mental Health	2124-123	WISCONSIN	X
5	103T00000X	Psychologist		35255-020	WISCONSIN	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	142406	OTHER	WISCONSIN	VALUE OPTIONS INSURANCE
2	561255	OTHER	WISCONSIN	VALUE OPTIONS INSURANCE
3	561257	OTHER	WISCONSIN	VALUE OPTIONS INSURANCE
4	570412	OTHER	WISCONSIN	VALUE OPTIONS INSURANCE
5	201110	OTHER	WISCONSIN	MHN INSRUANCE
6	348018	OTHER	WISCONSIN	MHN INSURANCE
7	348019	OTHER	WISCONSIN	MHN INSURANCE
8	39283400	MEDICAID	WISCONSIN
9	40977100	MEDICAID	WISCONSIN
10	342442	OTHER	WISCONSIN	VALUE OPTIONS INSURANCE
11	39193600	MEDICAID	WISCONSIN
12	42236600	MEDICAID	WISCONSIN
13	122790	OTHER	WISCONSIN	MHN INSURANCE
14	32064800	MEDICAID	WISCONSIN
15	39782000	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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