1295513703 NPI number — DR. CORINNE WERNER PSY.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295513703 NPI number — DR. CORINNE WERNER PSY.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

WERNER

Provider First Name:

CORINNE

Provider Middle Name:

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

PSY.D.

Provider Gender Code:

F

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:

1295513703

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

09/18/2023

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

707 CRICKET LN UNIT 2

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

MIDDLETON

Provider Business Mailing Address State Name:

WI

Provider Business Mailing Address Postal Code:

53562-5674

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

608-345-1346

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

7617 MINERAL POINT RD

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

MADISON

Provider Business Practice Location Address State Name:

WI

Provider Business Practice Location Address Postal Code:

53717-1623

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

608-833-9290

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

09/18/2023

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 103T00000X , with the licence number:  3955 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 103TB0200X , with the licence number: 3955 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 103TP2701X , with the licence number: 3955 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 103TC0700X , with the licence number: 3955 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 1598300972 . This is a "NORTHERN ROOTS COUNSELING" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1609890391 . This is a "RED OAK COUNSELING" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1669599361 . This is a "UNIVERSITY COUNSELING SERVICES" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1114140563 . This is a "HARMONIA MADISON CENTER FOR PSYCHOTHERAPY" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1114920048 . This is a "UNITYPOINT MERITER" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1306991682 . This is a "PRAIRIE COUNSELING SERVICES" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1326282666 . This is a "CIRCLE OF STONES WELLNESS" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1033127246 . This is a "CORNERSTONE COUNSELING SERVICES" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1235646647 . This is a "ABEGGLEN COUNSELING" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1124545199 . This is a "SYNERGOS COUNSELING" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1366481749 . This is a "INTEGRAL PSYCHOLOGY" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1487683694 . This is a "UW HEALTH" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1679755987 . This is a "LAKE CITY COUNSELING" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1093911257 . This is a "JOURNEY MENTAL HEALTH - MENDOTA ST" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1578143327 . This is a "RED WILLOW THERAPY" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1720586761 . This is a "ANESIS CENTER FOR MARRIAGE AND FAMILY THERAPY" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1841413879 . This is a "COLUMBIA COUNTY CSP - JOURNEY MENTAL HEALTH" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1053358846 . This is a "SSM DEAN HEALTH SYSTEMS" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1174720809 . This is a "JOURNEY MENTAL HEALTH - OLIN AVE" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: 1063619799 . This is a "JOURNEY MENTAL HEALTH - GORHAM ST" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".