BAY CENTER THERAPY
NPI 1346622214
Psychologist - Clinical in Appleton, WI

Active since June 26, 2015
5317 W GRANDE MARKET DR STE F7, APPLETON, WI 54913(920) 430-0736 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bay Center Therapy NPPES

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

BAY CENTER THERAPY (NPI 1346622214) is a healthcare organization registered as a clinical in Appleton, Wisconsin and active in the NPI registry since June 2015. The organization lists Deirdre Radosevich, Owner, as its authorized official.

NPPES Registry Identity

NPI1346622214
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBAY CENTER THERAPY
Location Address5317 W GRANDE MARKET DR STE F7Appleton, WI 54913-8465
Mailing Address3336 Cottage Hill DrGreen Bay, WI 54311-6139 · (740) 972-1075
Organization SubpartNo
Authorized OfficialDeirdre RadosevichOwner · (920) 430-0736
Enumeration DateJune 26, 2015
Last NPPES UpdateSeptember 18, 2018
NPI 1346622214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
5317 W GRANDE MARKET DR STE F7, Appleton, WI 54913

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
5317 W GRANDE MARKET DR STE F7
APPLETON, WI 54913

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 Bay Center Therapy's NPI number?

The NPI number for Bay Center Therapy is 1346622214. It was assigned to this organization in the NPPES registry on June 26, 2015.

Where is Bay Center Therapy located?

Bay Center Therapy is located at 5317 W Grande Market Dr Ste F7, Appleton, WI 54913. The listed phone number is (920) 430-0736.

What is Bay Center Therapy'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 Bay Center Therapy was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.