National Provider Identifier Database

MICHAEL J MOLLER PA
Psychologist

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.


Contact Information

MICHAEL J MOLLER PA
900 6TH ST N
SUITE 102
HUDSON, WI54016-7171
Phone: 715-386-0856
Fax: 715-386-0948
Website:
Specialty Taxonomy Code
* Psychologist 103T00000X
Adult Development & Aging 103TA0700X
Clinical 103TC0700X
Clinical Child & Adolescent 103TC2200X
Cognitive & Behavioral 103TB0200X
Counseling 103TC1900X
Family 103TF0000X
Forensic 103TF0200X
Psychoanalysis 103TP0814X

* Indicates primary specialty

NPI Profile & details for MICHAEL J MOLLER PA

NPI Number 1992000657
Legal business name
LBN
MICHAEL J MOLLER PA
Authorized official MICHAEL MOLLER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/11/2011
Last updated 01/11/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: LP3404
  • WI License #: 2320-057
  • MN Medicaid: 880824400
  • WI Medicaid: 39739300

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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