RECONNECTIONS NPI 1386784742

NPI Information

  • NPI: 1386784742
  • Provider Name: RECONNECTIONS
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 921 W GLENDALE AVE
    GLENDALE, WI
    ZIP 53209
  • Phone: (414) 221-9293

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NPI Details

RECONNECTIONS is a mental health (including community mental health center) clinic center in Glendale, WI. RECONNECTIONS NPI is 1386784742. The provider is registered as an organization entity type.

The provider's business location address is:

921 W GLENDALE AVE
GLENDALE, WI
ZIP 53209-513
Phone: (414) 221-9293
Fax: (414) 221-9532

The provider's authorized official is B. Hal Dessel .
The authorized official title is Owner, Clinic Director and has the following contact phone number (414) 221-9293.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 6/23/2008.

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)1775WISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000044332MEDICARE ID-TYPE UNSPECIFIEDWISCONSINCLINIC PROVIDER NUMBER
242211500MEDICAIDWISCONSIN

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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