Marc W Zylstra is a Group Psychotherapy Psychologist based in Wauwatosa, WI and is specialized in Group Psychotherapy. Marc W Zylstra practices in Wauwatosa, WI and has the professional credentials of PHD. The NPI Number for Marc W Zylstra is 1295847002 and holds a License No. 1817-057 (Wisconsin).
The current practice location address for Marc W Zylstra is 2525 N Mayfair Rd, Wauwatosa, WI and can be reached out via phone at 414-476-8183 and via fax at 414-476-8465.
Location: 2525 N Mayfair Rd, Wauwatosa, WI, 53226-1403
Provider Profile Details
NPI Number
1295847002
Provider Name
Marc W Zylstra
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2525 N Mayfair Rd, Wauwatosa, WI, 53226-1403
Phone Number
414-476-8183
Fax Number
414-476-8465
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21280000 | 05 | WI | |
| 39640900 | 05 | WI |
Provider Business Practice Location Address Details
Address
2525 N Mayfair Rd
City
State
Zip
53226-1403
Phone Number
414-476-8183
Fax Number
414-476-8465
Provider Business Mailing Address Details
Address
2525 N Mayfair Rd
City
State
Zip
53226-1403
Phone Number
414-476-8183
Fax Number
414-476-8465
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
1817-057 (Wisconsin)
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.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
1817-057 (Wisconsin)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
License No.
43715 (Wisconsin)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Group Psychotherapy
Taxonomy
License No.
1817-057 (Wisconsin)
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
Badge
Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.