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MILWAUKEE PSYCHIATRY SC NPI 1124682174


NPI Information

NPI: 1124682174
Provider Name: MILWAUKEE PSYCHIATRY SC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 52D1064414

Address:
122 GREEN BAY RD STE 101
THIENSVILLE, WI
ZIP 53092
Phone: (608) 622-7776
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MILWAUKEE PSYCHIATRY SC is a psychiatry psychiatry neurology in Thiensville, WI. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MILWAUKEE PSYCHIATRY SC NPI is 1124682174. The provider is registered as an organization entity type.

The provider's business location address is:

122 GREEN BAY RD STE 101
THIENSVILLE, WI
ZIP 53092-624
Phone: (608) 622-7776
Fax: (857) 216-6675

The provider's authorized official is Matthew Weinlander .
The authorized official title is Medical Director and has the following contact phone number (608) 622-7776.

The CLIA number assigned to this NPI record is 52D1064414 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2019 and was last updated on 10/18/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthNo
22084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11043692700MEDICAIDMICHIGAN

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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