JIR PSYCHIATRY NPI 1174126254

NPI Information

  • NPI: 1174126254
  • Provider Name: JIR PSYCHIATRY
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 13500 WATERTOWN PLANK RD
    #102
    ELM GROVE, WI
    ZIP 53122
  • Phone: (262) 794-3076

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NPI Details

JIR PSYCHIATRY is a mental health (including community mental health center) clinic center in Elm Grove, WI. JIR PSYCHIATRY NPI is 1174126254. The provider is registered as an organization entity type.

The provider's business location address is:

13500 WATERTOWN PLANK RD
#102
ELM GROVE, WI
ZIP 53122-222
Phone: (262) 794-3076
Fax: (949) 655-2632

The provider's authorized official is Tamara Fritsch .
The authorized official title is Credentialing And Billing Manager and has the following contact phone number (414) 793-4277.

The enumeration date for this NPI number is 11/19/2020 and was last updated on 11/19/2020.

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 License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 11/21/2025

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