Mara J. Bach, PSYCHOLOGIST
NPI 1598057242ActiveIndividual· Psychologist, Clinical· Milwaukee, WI
Psychologist, Clinical (PSYCHOLOGIST) with 16th Street Community Health Center Inc., practicing in Milwaukee, Wisconsin. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1598057242 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYCHOLOGIST |
| Sole proprietor | No |
| NPI issued | May 12, 2011 |
| Last updated in NPPES | Oct 12, 2023 |
| Certified by provider | Oct 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 3319-57 | WI |
| Psychologist | 103T00000X | 3319-57 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WI) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- 16th Street Community Health Center Inc.Milwaukee, WI · 85 clinicians
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