BEHAVIORAL HEALTH CLINIC LLC NPI 1902698533

NPI Information

  • NPI: 1902698533
  • Provider Name: BEHAVIORAL HEALTH CLINIC, LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 1245 CHEYENNE AVE STE 200
    GRAFTON, WI
    ZIP 53024
  • Phone: (715) 842-9500

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NPI Details

BEHAVIORAL HEALTH CLINIC, LLC is a clinical psychologist in Grafton, WI. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. BEHAVIORAL HEALTH CLINIC, LLC NPI is 1902698533. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1245 CHEYENNE AVE STE 200
GRAFTON, WI
ZIP 53024-323
Phone: (715) 842-9500
Fax: (715) 848-0425

The provider's authorized official is Charity Dawn Fancher .
The authorized official title is Operations Administrator and has the following contact phone number (715) 842-9500.

The enumeration date for this NPI number is 5/20/2025 and was last updated on 10/7/2025.

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
1103TS0200XPsychologistSchoolNo
21041C0700XSocial WorkerClinicalNo
3101YP2500XCounselorProfessionalNo
42084A0401XPsychiatry & NeurologyAddiction MedicineNo
5101YA0400XCounselorAddiction (Substance Use Disorder)No
6235Z00000XSpeech-Language PathologistNo
7103TC1900XPsychologistCounselingNo
8101YM0800XCounselorMental HealthNo
9103T00000XPsychologistNo
10106H00000XMarriage & Family TherapistNo
11104100000XSocial WorkerNo
12363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
13103TC0700XPsychologistClinicalYes

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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