Provider Demographics
NPI:1972342103
Name:ROCK POINT PSYCHOLOGY LLC
Entity type:Organization
Organization Name:ROCK POINT PSYCHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MICHELS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:715-322-3581
Mailing Address - Street 1:500 N 1ST ST STE 2400
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54403-4886
Mailing Address - Country:US
Mailing Address - Phone:715-322-3581
Mailing Address - Fax:715-977-8675
Practice Address - Street 1:500 N 1ST ST STE 2400
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54403-4886
Practice Address - Country:US
Practice Address - Phone:715-322-3581
Practice Address - Fax:715-977-8675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealthGroup - Multi-Specialty