PSYCARE-MILWAUKEE LLC (NPI# 1386847291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386847291 |
Entity Type | Organization |
Organization Name | PSYCARE-MILWAUKEE LLC |
Practice Address |
633 W Wisconsin Ave Ste 1810 Milwaukee WI 53203-1908 |
Practice Telephone | 4142713322 |
Practice Fax Number | 4142712335 |
Mailing Telephone | 4142713322 |
Mailing Fax Number | 4142712335 |
Enumeration Date | 2007-06-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. THOMAS A. GARLAND (OWNER) |
Authorized Official Telephone | 4142713322 |
Authorized Official Credential | PSY.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 1445 | WI | Agencies |
Street Address |
633 W WISCONSIN AVE STE 1810 |
City | MILWAUKEE |
State | WI |
Zip Code | 53203-1908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740723857 | Viviana Nunez | Counselor | 633 W Wisconsin Ave Ste 1810, Milwaukee, WI 53203-1908 | 2016-11-21 |
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 |
1073687349 | Riverwalk Psychotherapy Associates, LLC | Social Worker | 1110 N. Old World Third St., Suite 401, Milwaukee, WI 53203 | 2006-11-20 |
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 |
Find all providers in zip 53203 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558968990 | Zoran Jovicic | Community/Behavioral Health | 3239 S 58th St Unit 104, Milwaukee, WI 53219-4365 | 2020-10-08 |
1548816580 | Latara Williams | Community/Behavioral Health | 2447 N 50th St, Milwaukee, WI 53210-2815 | 2019-08-15 |
1942856091 | Kennedy's Circle of Wellness LLC | Community/Behavioral Health | 3614 W North Ave, Milwaukee, WI 53208-1416 | 2019-08-14 |
1205391828 | Jerome Pitchford | Community/Behavioral Health | 1220 W Atkinson Ave, Milwaukee, WI 53206-3024 | 2019-02-07 |
1194233718 | The Evolving Chair Counseling and Consulting Agency | Community/Behavioral Health | 3100 N 78th St, Milwaukee, WI 53222-3916 | 2018-01-17 |
1316453905 | D.a.a.n.i Professional Counseling Service LLC | Community/Behavioral Health | 2943 N 52nd St, Milwaukee, WI 53210-1610 | 2017-12-19 |
1932654845 | The Thresholds | Community/Behavioral Health | 6815 W Capitol Dr # 305, Milwaukee, WI 53216-2070 | 2016-08-20 |
1801341144 | Fly Philanthropy Inc | Community/Behavioral Health | 3352 N Palmer St, Milwaukee, WI 53212-1541 | 2016-08-16 |
1659726545 | Pathway Youth & Famiy Services | Community/Behavioral Health | 3879 N Port Washington Rd, Milwaukee, WI 53212-1180 | 2016-04-27 |
1528413671 | Adventures In Play, LLC | Community/Behavioral Health | 2118 E Kenilworth Pl, Lowr, Milwaukee, WI 53202-1327 | 2016-04-26 |
Find all providers in MILWAUKEE |
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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.