RIVERWALK PSYCHOTHERAPY ASSOCIATES, LLC


Address: 1110 N. Old World Third St., Suite 401, Milwaukee, WI 53203
Phone: 4142240800

RIVERWALK PSYCHOTHERAPY ASSOCIATES, LLC (NPI# 1073687349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073687349
Entity Type Organization
Organization Name RIVERWALK PSYCHOTHERAPY ASSOCIATES, LLC
Other Organization Name MIDWEST CENTER FOR HUMAN SERVICES
Practice Address 1110 N. Old World Third St.
Suite 401
Milwaukee
WI 53203
Practice Telephone 4142240800
Practice Fax Number 4142240883
Mailing Telephone 6084233960
Mailing Fax Number 6084237166
Enumeration Date 2006-11-20
Last Update Date 2014-06-10
Authorized Official Name SERENA COURTNEY CLARDIE (PARTNER/PSYCHOTHERAPIST)
Authorized Official Telephone 4142240800
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 42184700 05

Other Provider/Organization Names

Other Name Type Code
Midwest Center for Human Services Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1598178170 Riverwalk Psychotherapy Associates, LLC Clinic/Center 1110 N Old World 3rd St, Suite 401, Milwaukee, WI 53203-1100 2014-06-11

Office Location

Street Address 1110 N. OLD WORLD THIRD ST.
SUITE 401
City MILWAUKEE
State WI
Zip Code 53203

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013463272 Kameela Jackson Registered Nurse 606 E Juneaue Ave. 511812, Milwaukee, WI 53203 2016-08-28
1528239928 Christina Marie Sauber Physical Therapy Assistant 111 W. Michigan Street, Milwaukee, WI 53203 2008-03-13
1720273493 Michelle Lynn Vogel Speech-Language Pathologist 111 West Michigan St, Prostep/extendicare Healthservices, Milwaukee, WI 53203 2007-09-06
1265572564 Eye Care of Wisconsin, Inc Health Maintenance Organization 740 North Plankinton Ave, #730b, Milwaukee, WI 53203 2007-02-07
1144793423 Carissa Deanna Basile Behavioral Analyst 525 N 6th St, Milwaukee, WI 53203 2019-01-09
1275975807 Sandra Eiler Counselor 633 W Wisconsin Ave, Suite 1810, Milwaukee, WI 53203 2013-07-24
1154693331 Walgreen Co. Durable Medical Equipment & Medical Supplies 826 N Plankinton Ave Ste 100, Milwaukee, WI 53203 2012-02-02
1821277310 Rosalie C Mackay Community Health Worker 111 W Michigan St, Prostep/extendicare Health Services, Milwaukee, WI 53203 2007-10-31
1023131240 Gina G Negrette Psychiatry & Neurology 820 N Plankinton Ave, Milwaukee, WI 53203 2007-04-10
1255488292 Melinda Hughes Counselor 1110 N Old World 3rd St, Suite 401, Milwaukee, WI 53203-1100 2007-01-04
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871769919 Richard Winston Meyers General Practice 11050 Liberty Dr, Milwaukee, WI 53224-3630 2008-05-07
1144492273 Amanda Courtney Reiswig General Practice 1233 N Mayfair Rd Ste 208, Milwaukee, WI 53226-3255 2008-03-28
1063496131 Eldon J Swenson General Practice 620 S 76th St, Suite 240, Milwaukee, WI 53214-1599 2005-12-02
1467093864 Der Yang General Practice 5800 W Burleigh St, Milwaukee, WI 53210-1516 2019-10-07
1821559550 Kamal Sammy Al-shalby General Practice 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2019-03-26
1659831816 Rachel Louise Feltman-frank General Practice 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2019-03-23
1518427145 Zabrina Leann Ebert General Practice 8701 Watertown Plank Road, Milwaukee, WI 53226-0509 2019-03-20
1104323765 Kayla Jean Schenheit General Practice 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2018-04-10
1831621341 Peter Devries General Practice 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2017-04-03
1962934265 Hannah M Reiland General Practice 8701 W Watertown Plank Rd, Department of Psychiatry and Behavioral Medicine, Milwaukee, WI 53226-3548 2017-03-28
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Competitor

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City MILWAUKEE
Zip Code 53203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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