| NPI | 1295896454 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-12-12 |
| Last Updated | 2023-03-07 |
| Mailing Address | Winnebago Mental Health Institute1300 South Drive, 1300 South Drive Winnebago, WI 54985-0009 United States Phone: (920) 235-4910 | Fax: (920) 236-2931 📍 View Map |
| Primary Practice Address | Winnebago Mental Health Institute 1300 South Drive Winnebago, WI 54985-0009 United States Phone: (920) 235-4910 | Fax: (920) 236-2931 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WI | 32282700 | - |
| Other (non-Medicare) | WI | 37144 | LICENSE NUMBER |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 2084P0800X – Psychiatry & Neurology, Psychiatry | WI | 37144 |
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About NPI 1295896454
Alla Y Likhterev M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1295896454. The primary specialty listed is Psychiatry & Neurology, Psychiatry. The provider is located in Winnebago, WI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1295896454?
NPI 1295896454 belongs to Alla Y Likhterev M.D., a Psychiatry & Neurology, Psychiatry in Winnebago, WI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1295896454 active?
The current status of NPI 1295896454 in the NPPES registry is Active. The record was last updated on 2023-03-07.
What specialty is NPI 1295896454?
NPI 1295896454 is classified under the taxonomy Psychiatry & Neurology, Psychiatry. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1295896454?
You can verify NPI 1295896454 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1295896454?
The primary practice address on file for NPI 1295896454 is Winnebago Mental Health Institute 1300 South Drive, Winnebago, WI 54985-0009. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1295896454 issued?
NPI 1295896454 was first issued (enumerated) on 2006-12-12. The NPPES record was last updated on 2023-03-07.
Practice Location Map
Alla Y Likhterev is located at Winnebago Mental Health Institute 1300 South Drive, Winnebago, WI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Alla Y Likhterev. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1295896454. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Psychiatry & Neurology, Psychiatry | 37144 | WI |