Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Mara J Bach, PSYCHOLOGIST

Individual provider Psychologist · NPI 1598057242

MS. Mara J Bach, PSYCHOLOGIST is a Clinical Psychologist in Milwaukee, Wisconsin. Qualified in 2014, 12 years ago. Practices with 16th Street Community Health Center Inc, a 84-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203
Phone: (414) 672-1353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 — (414) 257-6995

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3319-57 (WI)
Psychologist Taxonomy 103T00000X · Licence 3319-57 (WI)

Record details

NPI number1598057242
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYCHOLOGIST
Sole proprietorNo
NPI enumeratedMay 12, 2011
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice 16th Street Community Health Center Inc. — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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