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WISCONSIN HEALTH OPERATIONS LLC NPI 1558930131


NPI Information

NPI: 1558930131
Provider Name: WISCONSIN HEALTH OPERATIONS LLC

Doing Business As: NEWPORT ACADEMY-WAUKESHA

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 52D2263554

Address:
N19W24101 RIVERWOOD DR
WAUKESHA, WI
ZIP 53188
Phone: (714) 202-5166
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WISCONSIN HEALTH OPERATIONS LLC is an adolescent and children mental health clinic center in Waukesha, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. WISCONSIN HEALTH OPERATIONS LLC NPI is 1558930131. The provider is registered as an organization entity type.
The provider Is Doing Business As Newport Academy-waukesha.

The provider's business location address is:

N19W24101 RIVERWOOD DR
WAUKESHA, WI
ZIP 53188-109
Phone: (714) 202-5166
Fax: (844) 721-8190

The provider's authorized official is Joseph A Procopio .
The authorized official title is Ceo and has the following contact phone number (949) 432-4622.

The CLIA number assigned to this NPI record is 52D2263554 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2021 and was last updated on 8/23/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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