ERC WISCONSIN LLC NPI 1730853870

NPI Information

NPI: 1730853870
Provider Name: ERC WISCONSIN, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2500 N MAYFAIR RD STE 600
WAUWATOSA, WI
ZIP 53226
Phone: (414) 727-4455
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ERC WISCONSIN, LLC is an adult mental health clinic center in Wauwatosa, 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 adults. ERC WISCONSIN, LLC NPI is 1730853870. The provider is registered as an organization entity type.

The provider's business location address is:

2500 N MAYFAIR RD STE 600
WAUWATOSA, WI
ZIP 53226-428
Phone: (414) 727-4455

The provider's authorized official is Marina Shepel .
The authorized official title is Contracting & Credentialing Manager and has the following contact phone number (425) 214-9321.

The enumeration date for this NPI number is 8/3/2021 and was last updated on 2/3/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
2	283Q00000X	Psychiatric Hospital		No
3	261QM0850X	Clinic/Center	Adult Mental Health	Yes

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

NPI Synchronization or Removal

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