MEDICARE: NEUROFEEDBACK TRAINING CLINICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1427758481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROFEEDBACK TRAINING CLINICS, LLC

Provider Business Mailing Address
First Line	:	425 S ADAMS ST STE 102
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54301-4117
Country	:	US
Telephone Number	:	920-888-5961
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 S ADAMS ST STE 102
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54301-4117
Country	:	US
Telephone Number	:	920-888-5961
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR/PSYCHOLOGIST
Name	:	ADAM M STURDEVANT
Credential	:	PSYD
Telephone Number	:	920-888-6868

Provider Enumeration Date	:	03/08/2023
Last Update Date	:	03/08/2023

Similar Medicare Providers

1316338866 — KELLY DALLAIRE LPC
Practice Location Address:

425 S ADAMS ST STE 205
GREEN BAY, WI
54301-4117

Practice Phone: 920-737-7695
Practice Fax:

1467401281 — JANYSE L BICE-ALLEN M.S.W., L.C.S.W.
Practice Location Address:

425 S ADAMS ST , SUITE 204
GREEN BAY, WI
54301-4117

Practice Phone: 920-884-5005
Practice Fax: 920-884-1997

1760613327 — AMBER WARD PA
Practice Location Address:

4117 N GREEN BAY AVE
MILWAUKEE, WI
53209-7019

Practice Phone: 414-218-8670
Practice Fax:

1306587167 — RETRAC ENTERPRISES INC
Practice Location Address:

4117 N GREEN BAY AVE
MILWAUKEE, WI
53209-7019

Practice Phone: 414-433-0780
Practice Fax: 414-433-5780

1922955608 — QUALITY LIVING HOME HEALTH CARE
Practice Location Address:

4117 N GREEN BAY AVE STE 3
MILWAUKEE, WI
53209-7019

Practice Phone: 414-232-4886
Practice Fax: 414-433-5780

1578494191 — MADDISON NEALY MOSER
Practice Location Address:

1811 GREEN FOREST RUN APT 203
JANESVILLE, WI
53546-4117

Practice Phone: 907-802-8960
Practice Fax:

Directions to “NEUROFEEDBACK TRAINING CLINICS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.