RED CEDAR PSYCHOLOGY LLC – NPI #1376305219
Clinic/Center

RED CEDAR PSYCHOLOGY LLC is a AHC clinic located in MENOMONIE, WI. NPPES recently assigned the NPI number 1376305219 to RED CEDAR PSYCHOLOGY LLC on January 26, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RED CEDAR PSYCHOLOGY LLC below.

NPI Profile for
RED CEDAR PSYCHOLOGY LLC

NPI Number
1376305219
Created

(about 5 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RED CEDAR PSYCHOLOGY LLC
Primary location
3120 SCHNEIDER AVE SE STE 606
MENOMONIE, WI 54751-2591
Phone: (715) 505-6105 Fax:
Mailing address
E5948 510TH AVE
MENOMONIE, WI 54751-5610
Phone: (715) 505-6105 Fax:
Organization Subpart
No
Authorized Official
ERIN MABRY-HILLESHIEM
THERAPIST
Phone: (715) 505-6105
Updated
Certification Date
Jan 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.