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BROTOLOC
NPI 1184841660
Psychologist - Clinical in Whitewater, WI

Active since April 19, 2007
209 S TAFT ST, WHITEWATER, WI 53190(262) 473-0480(262) 473-0486 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brotoloc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROTOLOC (NPI 1184841660) is a healthcare organization registered as a clinical in Whitewater, Wisconsin and active in the NPI registry since April 2007. The organization lists Gary S Johnson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1184841660
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBROTOLOC INC. OUTPATIENT CLINIC
Location Address209 S TAFT STWhitewater, WI 53190-2139
Mailing Address209 S Taft StWhitewater, WI 53190-2139 · (262) 473-0480 · Fax (262) 473-0486
Phone(262) 473-0480
Fax(262) 473-0486
Organization SubpartNo
Authorized OfficialGary S JohnsonVice President · (262) 473-0480
Enumeration DateApril 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1184841660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WI · 1115
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
209 S TAFT ST, Whitewater, WI 53190
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Other Names 1

Doing Business AsBrotoloc

Other Identifiers 1

Medicaid42181100WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROTOLOC SOUTH, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
209 S TAFT ST
WHITEWATER, WI 53190
Walworth County (262) 473-0480
BROTOLOC INC. OUTPATIENT CLINIC
Clinic/Center (Mental Health (Including Community Mental Health Center))
209 S TAFT ST
WHITEWATER, WI 53190
Walworth County (262) 473-0480
BROTOLOC SOUTH, INC.
Non-emergency Medical Transport (VAN)
209 S TAFT ST
WHITEWATER, WI 53190
Walworth County (262) 473-0480
MR. DONALD HILBIG MSW, LCSW, BCD
Social Worker (Clinical)
209 S TAFT ST
WHITEWATER, WI 53190
Walworth County (262) 473-0480

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brotoloc Inc. Outpatient Clinic's NPI number?

The NPI number for Brotoloc Inc. Outpatient Clinic is 1184841660. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is doing business as Brotoloc.

Where is Brotoloc Inc. Outpatient Clinic located?

Brotoloc Inc. Outpatient Clinic is located at 209 S Taft St, Whitewater, WI 53190. The listed phone number is (262) 473-0480.

What is Brotoloc Inc. Outpatient Clinic's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Brotoloc Inc. Outpatient Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.