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MARILYN ELIZABETH BOHATKIEWICZ PHD
NPI 1992884159
Psychologist - Clinical in De Pere, WI

Active since November 06, 2006
2200 DICKINSON RD UNIT 4, SUITE B, DE PERE, WI 54115(920) 347-3500(920) 347-3501 Get Directions Write a Review

NPPES record last updated: February 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marilyn Elizabeth Bohatkiewicz Phd NPPES

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

MARILYN ELIZABETH BOHATKIEWICZ PHD (NPI 1992884159) is an individual clinical provider in De Pere, Wisconsin, licensed in Wisconsin (1180057) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1992884159
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARILYN ELIZABETH BOHATKIEWICZCredential: PHD
Location Address2200 DICKINSON RD UNIT 4, SUITE BDe Pere, WI 54115-4056
Mailing Address2200 Dickinson Rd Unit 4, Suite BDe Pere, WI 54115-4056 · (920) 347-3500 · Fax (920) 347-3501
Phone(920) 347-3500
Fax(920) 347-3501
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateFebruary 24, 2014
✔ NPI 1992884159 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 · 1180057
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.
2200 DICKINSON RD UNIT 4, De Pere, WI 54115
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Other Identifiers 2

Medicaid39040500WI
Medicare PIN000207860WI

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 Marilyn Bohatkiewicz's NPI number?

The NPI number for Marilyn Bohatkiewicz is 1992884159. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Marilyn Bohatkiewicz located?

Marilyn Bohatkiewicz practices at 2200 Dickinson Rd Unit 4 Suite B, De Pere, WI 54115. The listed phone number is (920) 347-3500.

What is Marilyn Bohatkiewicz'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 Marilyn Bohatkiewicz was last updated on February 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.