Mind Body Program Llc - Medicare Mental Health Clinic in Elm Grove, WI

Mind Body Program Llc is a medicare enrolled mental health clinic (Psychologist - Health) in Elm Grove, Wisconsin. The current practice location for Mind Body Program Llc is 15300 Watertown Plank Rd Ste 106, Elm Grove, Wisconsin. For appointments, you can reach them via phone at (414) 807-8934. The mailing address for Mind Body Program Llc is 15300 Watertown Plank Rd #106, Elm Grove, Wisconsin and phone number is (414) 807-8934.

Mind Body Program Llc is licensed to practice in Wisconsin (license number 2028). The clinic also participates in the medicare program and its NPI number is 1205084118. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (414) 807-8934.

Contact Information

Mind Body Program Llc
15300 Watertown Plank Rd Ste 106
Elm Grove
WI 53122-2348
(414) 807-8934
Not Available

Mental Health Clinic Profile

Full NameMind Body Program Llc
SpecialityPsychologist
Location15300 Watertown Plank Rd Ste 106, Elm Grove, Wisconsin
Authorized Official Name and PositionLauri Christine Gebhard (PSYCHOLOGIST)
Authorized Official Contact4148078934
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mind Body Program Llc
15300 Watertown Plank Rd #106
Elm Grove
WI 53122-2300

Ph: (414) 807-8934
Mind Body Program Llc
15300 Watertown Plank Rd Ste 106
Elm Grove
WI 53122-2348

Ph: (414) 807-8934

NPI Details:

NPI Number1205084118
Provider Enumeration Date09/04/2008
Last Update Date07/18/2013

Medicare PECOS Information:

Medicare PECOS PAC ID4183756877
Medicare Enrollment IDO20100715000508

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Medical Identifiers

Medical identifiers for Mind Body Program Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205084118NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TH0004XPsychologist - Health 2028 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mind Body Program Llc acts as a billing entity for following providers:
Provider NameLauri C Gebhard
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1538276720
PECOS PAC ID: 8022056894
Enrollment ID: I20050421000836

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Provider NameLarisa Hutchins
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1841344256
PECOS PAC ID: 6608022637
Enrollment ID: I20160627002425

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Provider NameRachel M Sheffler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1881283463
PECOS PAC ID: 2264849504
Enrollment ID: I20220414000806

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Provider NameLyndsy Marie Mirasola
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053719138
PECOS PAC ID: 9739419987
Enrollment ID: I20231204001905

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Provider NameJulie L Educate
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1134602733
PECOS PAC ID: 2961847918
Enrollment ID: I20240229000664

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› Verified 4 days ago

Psychologist in Elm Grove, WI

Christos Ministries Counseling
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 12970 W Bluemound Rd, Suite 105, Elm Grove, WI 53122
Phone: 262-787-2904    Fax: 262-787-2909
Prisma Wellness, Pllc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 13500 Watertown Plank Rd Ste 102, Elm Grove, WI 53122
Phone: 206-785-1015    Fax: 206-785-1023
Dr. Ann Lawrence, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 12900 Lee Ct, Elm Grove, WI 53122
Phone: 414-431-3344    Fax: 414-434-1950
Moonlit Path Behavioral Health
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 13500 Watertown Plank Rd Ste 102, Elm Grove, WI 53122
Phone: 414-867-4318    Fax: 414-404-3623
American Behavioral Clinics
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 15285 Watertown Plank Rd, Elm Grove, WI 53122
Phone: 262-797-2818    Fax: 262-797-2814
Jir Psychiatry
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 13500 Watertown Plank Rd, #102, Elm Grove, WI 53122
Phone: 262-794-3076    Fax: 949-655-2632
Acs Consulting
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 820 Brinsmere Drive, Elm Grove, WI 53122
Phone: 262-993-5427    

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