DR. KIP H ZIRKEL PH.D. - NPI 1619023090 - Psychologist in La Crosse, WI

Q: What is Kip Zirkel's NPI number?

The NPI number for Kip Zirkel is 1619023090. It was assigned to this individual provider in the NPPES registry on January 26, 2007. The provider is also known as Dr. Clifford Herbert Zirkel Ph.D..

Q: What is Kip Zirkel's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Kip Zirkel was last updated on July 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Kip H Zirkel Ph.d. NPPES

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

DR. KIP H ZIRKEL PH.D. (NPI 1619023090) is an individual clinical child & adolescent provider in La Crosse, Wisconsin, licensed in Wisconsin (781) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1619023090

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. KIP H ZIRKELCredential: PH.D.

Location Address1707 MAIN STLa Crosse, WI 54601-4200

Mailing Address1707 Main StLa Crosse, WI 54601-4200 · (608) 785-0001 · Fax (608) 785-0002

Phone(608) 785-0001

Fax(608) 785-0002

Sole ProprietorNo

Enumeration DateJanuary 26, 2007

Last NPPES UpdateJuly 29, 2010

✔ NPI 1619023090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in WI · 781

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 781 (WI)

1707 MAIN ST, La Crosse, WI 54601

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Other Names 1

Other Name (5)Dr. Clifford Herbert Zirkel Ph.d.

Other Identifiers 7

Medicaid39018600WI

Other13G9521MN · Bcbs-mn

Medicare UPINR60925

Medicaid852578100MN

Other31097WI · Nat. Regis. Of H.c. Prov.

OtherHP69927Healthpartners

Medicare PIN000284005WI

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.

ALICIA S SKILES QTT

Counselor (Professional)