BCS OF WISCONSIN S.C. (NPI# 1629579149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629579149 |
| Entity Type | Organization |
| Organization Name | BCS OF WISCONSIN S.C. |
| Practice Address |
11414 W Park Pl Ste 202 Milwaukee WI 53224-3500 |
| Mailing Address |
39465 W 14 Mile Rd Novi MI 48377-1600 |
| Practice Telephone | 2488593900 |
| Mailing Telephone | 2488593900 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-04-09 |
| Authorized Official Name | ROBERT ARTHUR CLEMENTE (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 2488593900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
11414 W PARK PL STE 202 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53224-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235426461 | Matrix Medical Network of Wisconsin, S.c. | Nurse Practitioner | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2011-07-08 |
| 1669072195 | Current Initiatives Counseling Service II, LLC | Counselor | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-10-26 |
| 1922606649 | Blue Willow Counseling and Consulting LLC | Community/Behavioral Health | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-10-14 |
| 1417555418 | Mother and Child Prenatal Care Services | Case Management | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-10-12 |
| 1740888981 | Kyle Marcus Crawford | Case Manager/Care Coordinator | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-10-10 |
| 1528673738 | Fountain of Life Home Healthcare | Home Health | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-09-14 |
| 1487263588 | Savvy Wellness and Prenatal Care LLC | Case Management | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-07-24 |
| 1952924870 | Pampered Darlings Pncc Services | Case Management | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-05-27 |
| 1780212902 | Elevate Home Care LLC | In Home Supportive Care | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-04-01 |
| 1205461506 | Fox Valley Surgical Assistants, LLC | Physician Assistant | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2020-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124665336 | Ltc Pharmacy Services, LLC | Pharmacy | 11739 W Bradley Rd, Milwaukee, WI 53224 | 2019-12-06 |
| 1811494628 | Udoyen Health LLC | Psychiatry & Neurology | 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 | 2018-04-09 |
| 1003198292 | Attentacare Residential Living LLC | In Home Supportive Care | 8225b North 107th Street, Milwaukee, WI 53224 | 2011-09-13 |
| 1366744278 | Sunday Kerobo | Registered Nurse | 9809 W Fountain Ave, Milwaukee, WI 53224 | 2010-11-29 |
| 1558677237 | Valorie J Roberts | Registered Nurse | 10282 W Fountain Ave Apt #1301, Milwaukee, WI 53224 | 2010-08-19 |
| 1699092999 | United Extended Home Healthcare Services | Home Health | 6455 N. Fresno Streeet, Milwaukee, WI 53224 | 2010-04-26 |
| 1063742096 | Contina Monique Williams | Licensed Practical Nurse | 3949 N 70th St, Milwaukee, WI 53224 | 2010-01-14 |
| 1316171234 | Laura Ann Stern | Registered Nurse | 7005 N102nd St, Milwaukee, WI 53224 | 2009-05-06 |
| 1124276977 | Mary Deloris Wilder | Registered Nurse | 9851 W. Dean Rd, Milwaukee, WI 53224 | 2008-09-05 |
| 1346413515 | Alex B Goldman | Counselor | 11414 W Park Place Suite 202, Milwaukee, WI 53224 | 2008-04-09 |
| Find all providers in zip 53224 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740764034 | New Frontiers Tms LLC | Psychiatry & Neurology | 2675 N Mayfair Rd Ste 400, Milwaukee, WI 53226-1305 | 2018-09-21 |
| 1811494628 | Udoyen Health LLC | Psychiatry & Neurology | 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 | 2018-04-09 |
| 1659725497 | Chelsea Maria Sprick | Psychiatry & Neurology | 5000 W National Ave Fl 3, Milwaukee, WI 53295-3133 | 2016-04-18 |
| 1376925065 | Lamberton Psychiatry, LLC | Psychiatry & Neurology | 2025 N Summit Ave, Suite 107, Milwaukee, WI 53202-1362 | 2015-06-18 |
| 1043692700 | Matthew Weinlander | Psychiatry & Neurology | 827 N Cass St # 9, Milwaukee, WI 53202 | 2015-06-18 |
| 1194127514 | New Age Billing Service | Psychiatry & Neurology | 2802 N 47th Street, Milwaukee, WI 53210 | 2014-09-17 |
| 1902061328 | Paul Gregory Stein | Psychiatry & Neurology | 9330 W Lincoln, Greater Milwaukee Free Clinic, Milwaukee, WI 53227 | 2008-07-24 |
| 1497878656 | Raymond S Koziol | Psychiatry & Neurology | 4830 N Port Washington Rd, Milwaukee, WI 53217-5445 | 2007-04-10 |
| 1801958020 | Bruce R Stevens Md Sc | Psychiatry & Neurology | 1601 E Blackthorne Pl, Milwaukee, WI 53211-1139 | 2006-12-14 |
| 1720149362 | Milwaukee County Behavioral Health Medical Associates Psych | Psychiatry & Neurology | 9201 W Watertown Plank Rd, Milwaukee, WI 53226-3558 | 2006-12-13 |
| 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.