Taxonomy Code 103TC0700X(103tc0700x)
Clinical Psychologist. Providers: 5

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Clinical Psychologist Providers

NPI Name Type Address

1881716108

Center For Anxiety Disorders

Organization

436 Summit Ave

Oconomowoc, WI

1225037575

PH.D. Joan Carol Russo

Individual

W340n6509 Breezy Point Rd

Oconomowoc, WI

1235128356

South Street Clinic Llc

Organization

416 W South St

Oconomowoc, WI

1245245794

A New Day Psychological Services Llc

Organization

970 S Silver Lake St

Suite 103

Oconomowoc, WI

1649866096

DR. PHD Mia Nunez

Individual

1291 Orchard Cir

Oconomowoc, WI

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Taxonomy Code 103TC0700X
Specialization Clinical
Display Name Clinical Psychologist
Taxonomy Group Behavioral Health & Social Service Providers
Taxonomy Classification Psychologist
Definition A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Effective Date September 30, 2009
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Psychologist Codes

Addiction (Substance Use Disorder) Psychologist

103TA0400X • providers: 623

Adult Development & Aging Psychologist

103TA0700X • providers: 215

Clinical Child & Adolescent Psychologist

103TC2200X • providers: 4,646

Cognitive & Behavioral Psychologist

103TB0200X • providers: 2,097

Counseling Psychologist

103TC1900X • providers: 7,770

Deactivated - Psychologist

103TE1000X • providers: 0

Deactivated - Psychologist Men & Masculinity

103TM1700X • providers: 0

Deactivated - Psychologist Psychotherapy

103TP2700X • providers: 0

Deactivated - Psychotherapy Women

103TW0100X • providers: 0

Exercise & Sports Psychologist

103TE1100X • providers: 92

Family Psychologist

103TF0000X • providers: 337

Forensic Psychologist

103TF0200X • providers: 765

Group Psychotherapy Psychologist

103TP2701X • providers: 552

Health Psychologist

103TH0004X • providers: 432

Health Service Psychologist

103TH0100X • providers: 828

Intellectual & Developmental Disabilities Psychologist

103TM1800X • providers: 886

Prescribing (Medical) Psychologist

103TP0016X • providers: 528

Psychoanalysis Psychologist

103TP0814X • providers: 325

Psychologist

103T00000X • providers: 49,470

Rehabilitation Psychologist

103TR0400X • providers: 714

School Psychologist

103TS0200X • providers: 8,926