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MARY INEZ NUNCHUCK D.O.
NPI 1316028616
Psychiatry & Neurology - Addiction Psychiatry in Racine, WI

Active since October 17, 2006
1717 TAYLOR AVE, RACINE, WI 53403(262) 638-6744(262) 638-6540 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Inez Nunchuck D.o. NPPES

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

MARY INEZ NUNCHUCK D.O. (NPI 1316028616) is an individual addiction psychiatry provider in Racine, Wisconsin, licensed in Wisconsin (377260021) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1316028616
Entity TypeIndividualFemale
Primary Taxonomy2084P0802X
Provider Legal NameMARY INEZ NUNCHUCKCredential: D.O.
Location Address1717 TAYLOR AVERacine, WI 53403-2405
Mailing Address1717 Taylor AveRacine, WI 53403-2405 · (262) 638-6744 · Fax (262) 638-6540
Phone(262) 638-6744
Fax(262) 638-6540
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 7, 2020
NPPES CertifiedJuly 7, 2020
✔ NPI 1316028616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in WI · 377260021
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
1717 TAYLOR AVE, Racine, WI 53403
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Other Providers at the Same Location NPPES 20

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

MERRITT ADAMS CADCIII
Counselor (Addiction (Substance Use Disorder))
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 632-1780
DR. KELLY JEAN SMITH PH.D., LPC
Counselor (Professional)
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6771
DARREN L TAYLOR CSAC
Counselor (Addiction (Substance Use Disorder))
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6744
MR. DOMINIC D FOSTER LPC-IT, SACIT
Counselor (Mental Health)
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6744
TRACY DANIELS CSAC, LPC, ICS
Counselor (Addiction (Substance Use Disorder))
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6674
CATHERINE PEEK APSW
Counselor (Professional)
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6342
RACINE COUNTY FINANCE DEPARTMENT
Community/Behavioral Health
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6693
GINA PATOVISTI LCSW
Social Worker (Clinical)
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6673

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 Mary Nunchuck's NPI number?

The NPI number for Mary Nunchuck is 1316028616. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Mary Nunchuck located?

Mary Nunchuck practices at 1717 Taylor Ave, Racine, WI 53403. The listed phone number is (262) 638-6744.

What is Mary Nunchuck's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

When was this NPI record last updated?

The NPPES record for Mary Nunchuck was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.