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LIGHTHOUSE CLINIC INC. NPI 1265451280


NPI Information

NPI: 1265451280
Provider Name: LIGHTHOUSE CLINIC, INC.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
2577 N DOWNER AVE
SUITE 215
MILWAUKEE, WI
ZIP 53211
Phone: (414) 964-9200
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LIGHTHOUSE CLINIC, INC. is a psychiatry psychiatry neurology in Milwaukee, 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. LIGHTHOUSE CLINIC, INC. NPI is 1265451280. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2577 N DOWNER AVE
SUITE 215
MILWAUKEE, WI
ZIP 53211-253
Phone: (414) 964-9200
Fax: (414) 964-4816

The provider's authorized official is Hava E Mendelberg .
The authorized official title is President and has the following contact phone number (414) 964-9200.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/11/2014.


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
1101YM0800XCounselorMental HealthNo
2103T00000XPsychologistNo
31041C0700XSocial WorkerClinicalNo
42084P0800XPsychiatry & 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
1000044635MEDICARE PINWISCONSIN
242149800MEDICAIDWISCONSIN
3000084452MEDICARE PINWISCONSIN

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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