Jeramiah Gruendemann · Psychologist

1575 Allouez Ave, Green Bay, WI 54311-5625

Overview

Jeramiah Gruendemann is a Psychologist practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1346031952, which was assigned on May 14, 2025, and the registration record was last updated on May 14, 2025. The practitioner's main practice location is at 1575 Allouez Ave, Green Bay, WI 54311-5625; the contact telephone number is 9208581389. The primary taxonomy of Jeramiah Gruendemann is Psychologist (103T00000X).

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.

Provider Information

NPI 1346031952
Entity Type Individual
Provider Name DR. JERAMIAH GRUENDEMANN
Gender Male
Credential PSYD
Practice Address 1575 Allouez Ave
Green Bay
WI 54311-5625
Practice Telephone 9208581389
Mailing Address 413 Papermaker Dr
Kimberly
WI 54136-1856
Mailing Telephone 9208581389
Certification Date 2025-05-13
Enumeration Date 2025-05-14
Last Update Date 2025-05-14
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y103T00000XPsychologist

Taxonomy Information

Primary Taxonomy

Code 103T00000X
Taxonomy Psychologist
Classification Psychologist
Grouping Behavioral Health & Social Service Providers
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.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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Location Information

Street Address 1575 ALLOUEZ AVE
City GREEN BAY
State WI
Zip Code 54311-5625
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Michelle Valenzuela 1575 Allouez Ave, Green Bay, WI 54311-5625Cognitive & Behavioral Psychologist2017-11-21
Christina Cliff 1575 Allouez Ave, Green Bay, WI 54311-5625Behavior Technician2025-05-15
Chelsea E Carter 1575 Allouez Ave, Green Bay, WI 54311-5625Behavioral Analyst2018-09-27
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Laura M Gintner · Laura Marie Bentler 2845 Greenbrier Rd, Green Bay, WI 54311Physician Assistant2010-01-27
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Peter E. Mcmahon · Pete E. Mcmahon 2223 Lime Kiln Rd, Green Bay, WI 54311Physical Therapist2006-07-27
Lori Ann Keisic Hummel · Lori Ann Keisic Grillo 1160 Kepler Dr, Green Bay, WI 54311Physical Therapist2012-04-23
Kathryn Meadowcroft 2581 Development Dr, Green Bay, WI 54311-4247Family Nurse Practitioner2023-01-06
Taylor Lauren Shefchik · Taylor Smiley 2617 Development Dr, Green Bay, WI 54311-4240Physician Assistant2024-10-02
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Gabrielle Arline Rutherford 2581 Development Dr, Green Bay, WI 54311-4247Registered Nurse2025-03-10
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.