PATRICIA K BRICENO LLC (NPI# 1417271610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417271610 |
| Entity Type | Organization |
| Organization Name | PATRICIA K BRICENO LLC |
| Practice Address |
3970 N Oakland Ave Suite 502 Shorewood WI 53211-2265 |
| Practice Telephone | 4149629909 |
| Practice Fax Number | 4143328596 |
| Mailing Telephone | 4149629909 |
| Mailing Fax Number | 4143328596 |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |
| Authorized Official Name | PATRICIA K BRICENO (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Telephone | 4149629909 |
| Authorized Official Credential | MS, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1965123 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39676000 | 05 |
| Street Address |
3970 N OAKLAND AVE SUITE 502 |
| City | SHOREWOOD |
| State | WI |
| Zip Code | 53211-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801434899 | Milwaukee Mind Solutions | Psychologist | 3970 N Oakland Ave, Shorewood, WI 53211-2265 | 2019-12-20 |
| 1356833362 | Gregory Ketz | Physical Therapist | 3970 N Oakland Ave, Ste 102, Shorewood, WI 53211 | 2018-06-05 |
| 1679987838 | Peter James Colosimo | Dentist | 3970 N Oakland Ave, Suite #702, Shorewood, WI 53211-2265 | 2014-06-16 |
| 1861771628 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3970 N Oakland Ave, Shorewood, WI 53211 | 2011-08-11 |
| 1811208275 | Margaret Pedersen | Acupuncturist | 3970 N Oakland Ave, Suite 502, Shorewood, WI 53211-2265 | 2010-06-30 |
| 1346481371 | Kamyar Saeian D.d.s. | Dentist | 3970 N Oakland Ave, Suite 501, Shorewood, WI 53211-2265 | 2009-03-21 |
| 1841483484 | Foot & Ankle Health Center, S.c. | Podiatrist | 3970 N Oakland Ave, Suite 402, Shorewood, WI 53211-2265 | 2007-08-27 |
| 1912109752 | Kamyar Saeian | Dentist | 3970 N Oakland Ave, Suite 501, Shorewood, WI 53211-2265 | 2007-06-04 |
| 1629289269 | Karyn L Brzezinski | Dentist | 3970 N Oakland Ave, Suite 601, Shorewood, WI 53211-2265 | 2007-05-25 |
| 1952521098 | Peter P Colosimo | Dentist | 3970 N Oakland Ave, #702, Shorewood, WI 53211 | 2007-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| 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 |
|---|---|---|---|---|
| 1952969453 | Joliet Clinic | Community/Behavioral Health | 807 W Jefferson St Unit P, Shorewood, IL 60404-7301 | 2019-05-31 |
| 1003414970 | Physiological Health Sanctuary LLC | Community/Behavioral Health | 4465 N Oakland Ave Unit 310, Shorewood, WI 53211-1662 | 2020-10-13 |
| 1003160342 | A Strong Foundation Counseling Services | Community/Behavioral Health | 4447 N Oakland Ave, Shorewood, WI 53211-1680 | 2012-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968990 | Zoran Jovicic | Community/Behavioral Health | 3239 S 58th St Unit 104, Milwaukee, WI 53219-4365 | 2020-10-08 |
| 1437776457 | Milkweed Connections LLC | Community/Behavioral Health | 1700 Tainter St Ste D, Menomonie, WI 54751-1358 | 2020-06-26 |
| 1477178473 | Grace Counseling & Family Services S.c | Community/Behavioral Health | 121 S Adams St, New Lisbon, WI 53950-1205 | 2020-06-15 |
| 1740804491 | Strides Equestrian Therapeutic Center LLC | Community/Behavioral Health | W6769 Colby Factory Rd, Greenwood, WI 54437-9010 | 2020-05-28 |
| 1841831153 | Sheboygan County Halfway House | Community/Behavioral Health | 503 Ontario Ave, Sheboygan, WI 53081-4151 | 2019-10-08 |
| 1780234955 | Spirited Psychological Services LLC | Community/Behavioral Health | 376 Violet Cir, Grantsburg, WI 54840-8564 | 2019-09-18 |
| 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 |
| 1104386101 | Counseling Center | Community/Behavioral Health | 601 N 5th St, Sheboygan, WI 53081-4624 | 2019-03-25 |
| 1205391828 | Jerome Pitchford | Community/Behavioral Health | 1220 W Atkinson Ave, Milwaukee, WI 53206-3024 | 2019-02-07 |
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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.