WHOLEHEARTED INTEGRATIVE BODYMIND THERAPIES LLC
NPI 1891281606
Psychologist in Mequon, WI

Active since July 04, 2018
1035 W GLEN OAKS LN STE 204, MEQUON, WI 53092(414) 858-8085 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2025, Jul 4, 2018 (2 updates tracked since 2018).

About Wholehearted Integrative Bodymind Therapies Llc NPPES

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

WHOLEHEARTED INTEGRATIVE BODYMIND THERAPIES LLC (NPI 1891281606) is a healthcare organization registered as a psychologist in Mequon, Wisconsin and active in the NPI registry since July 2018. The organization lists Nicole L Bickham, Owner, as its authorized official.

NPPES Registry Identity

NPI1891281606
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameWHOLEHEARTED INTEGRATIVE BODYMIND THERAPIES LLC
Location Address1035 W GLEN OAKS LN STE 204Mequon, WI 53092-3395
Mailing Address661 Laverne DrGreen Bay, WI 54311-5931 · (414) 858-8085
Organization SubpartNo
Authorized OfficialNicole L BickhamOwner · (414) 858-8085
Enumeration DateJuly 4, 2018
Last NPPES UpdateFebruary 3, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
NPI 1891281606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1035 W GLEN OAKS LN STE 204, Mequon, WI 53092

Other Identifiers 1

Medicaid100072756WI

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Psychologist
1035 W GLEN OAKS LN STE 204
MEQUON, WI 53092
Psychologist
1035 W GLEN OAKS LN STE 204
MEQUON, WI 53092
Counselor (Professional)
1035 W GLEN OAKS LN STE 204
MEQUON, WI 53092

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 Wholehearted Integrative Bodymind Therapies LLC's NPI number?

The NPI number for Wholehearted Integrative Bodymind Therapies LLC is 1891281606. It was assigned to this organization in the NPPES registry on July 4, 2018.

Where is Wholehearted Integrative Bodymind Therapies LLC located?

Wholehearted Integrative Bodymind Therapies LLC is located at 1035 W Glen Oaks Ln Ste 204, Mequon, WI 53092. The listed phone number is (414) 858-8085.

What is Wholehearted Integrative Bodymind Therapies LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Wholehearted Integrative Bodymind Therapies LLC was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.