NORTH SHORE CENTER LLC NPI 1780755389

NPI Information

  • NPI: 1780755389
  • Provider Name: NORTH SHORE CENTER LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1500 W MARKET ST STE 200
    MEQUON, WI
    ZIP 53092
  • Phone: (262) 241-5955

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NPI Details

NORTH SHORE CENTER LLC is a mental health (including community mental health center) clinic center in Mequon, WI. NORTH SHORE CENTER LLC NPI is 1780755389. The provider is registered as an organization entity type.

The provider's business location address is:

1500 W MARKET ST STE 200
MEQUON, WI
ZIP 53092-083
Phone: (262) 241-5955
Fax: (262) 241-5926

The provider's authorized official is Jennifer Strom .
The authorized official title is Director/manager and has the following contact phone number (262) 241-5955.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 11/15/2024.

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

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
142204700MEDICAIDWISCONSIN

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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