1255217212 NPI number — DR. ERICA ALEXANDRA FALK-HUZAR PSYD, SAC, CNHP

Table of content: DR. ERICA ALEXANDRA FALK-HUZAR PSYD, SAC, CNHP (NPI 1255217212)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255217212 NPI number — DR. ERICA ALEXANDRA FALK-HUZAR PSYD, SAC, CNHP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FALK-HUZAR
Provider First Name:
ERICA
Provider Middle Name:
ALEXANDRA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PSYD, SAC, CNHP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255217212
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/14/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 10
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NECEDAH
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54646-0010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-547-4444
Provider Business Mailing Address Fax Number:
608-572-7997

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
N9895 18TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NECEDAH
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54646-8056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-565-3700
Provider Business Practice Location Address Fax Number:
608-572-7997
Provider Enumeration Date:
08/14/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  17231-131 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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