MILWAUKEE HEALTH SERVICES (NPI# 1972980217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972980217 |
Entity Type | Organization |
Organization Name | MILWAUKEE HEALTH SERVICES |
Practice Address |
3707 N Richards St Milwaukee WI 53212-1673 |
Practice Telephone | 4149677006 |
Practice Fax Number | 4149677020 |
Mailing Telephone | 4149677006 |
Mailing Fax Number | 4149677020 |
Enumeration Date | 2015-05-06 |
Last Update Date | 2015-05-06 |
Authorized Official Name | MS. LATIKA N WASHINGTON (CLINICAL SUPERVISOR) |
Authorized Official Telephone | 4149677006 |
Authorized Official Credential | MS CSAC LPCIT IC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457693723 | Milwaukee Health Services | Non-Pharmacy Dispensing Site | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2013-03-25 |
1578883567 | Milwaukee Health Services | Substance Abuse Rehabilitation Facility | 3301 N Ballard Rd, Appleton, WI 54911-8928 | 2010-06-02 |
1861651366 | Milwaukee Health Services | Case Management | 2555 N Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2008-06-09 |
Street Address |
3707 N RICHARDS ST |
City | MILWAUKEE |
State | WI |
Zip Code | 53212-1673 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780850594 | Milwaukee Health Services System, LLC | Clinic/Center | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2008-05-01 |
1124626981 | Carolyn Marie Lewis | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-10-14 |
1073120499 | Kathleen Joan St John | Registered Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-09-29 |
1700404266 | Sheryl Lynn Cotton | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-07-10 |
1477171205 | Carmella L Caceres | Registered Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-07-08 |
1306471644 | Lea Nickolas | Registered Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-03-06 |
1366074635 | Michelle Englund | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-02-05 |
1750926531 | A D Venzel Owens | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2019-11-15 |
1205479698 | Natalie Bolton | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2019-10-18 |
1083277057 | Patricia Martin | Licensed Practical Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2019-04-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
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Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740767292 | Ansa Treatment Center Inc | Clinic/Center | 4111 N Port Washington Rd Ste 101a, Milwaukee, WI 53212-1029 | 2018-07-26 |
1780850594 | Milwaukee Health Services System, LLC | Clinic/Center | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2008-05-01 |
1174798524 | Milwaukee Health Services System, LLC | Clinic/Center | 4800 S 10th St Unit 1, Milwaukee, WI 53221-2412 | 2008-04-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356951321 | Premier Care of Wisconsin, LLC. | Clinic/Center | 1333 College Ave Ste M1, South Milwaukee, WI 53172-1150 | 2020-08-05 |
1013572353 | Addiction Services and Pharmacotherapy, Sc | Clinic/Center | 11390 W Theo Trekr Way, West Allis, WI 53214-1135 | 2019-05-02 |
1265922660 | Addiction Services and Pharmacotherapy, Sc | Clinic/Center | 210 E Olin Ave, Madison, WI 53713-1434 | 2018-05-11 |
1003150004 | Ams of Wisconsin, LLC | Clinic/Center | 9532 E 16 Frontage Rd, Suite 100, Onalaska, WI 54650-6739 | 2012-11-15 |
1194992404 | Milwaukee Health Services System, LLC | Clinic/Center | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2008-05-15 |
1093912768 | C.o.r.e.,llc | Clinic/Center | 4555 W Schroeder Dr Ste 185, Brown Deer, WI 53223-1494 | 2007-06-27 |
1336247139 | Milwaukee Health Services System, LLC | Clinic/Center | 210 Washington St., Wausau, WI 54403-5475 | 2006-09-20 |
1881131761 | Psychological Addiction Services LLC | Clinic/Center | 3113 E Washington Ave, Madison, WI 53704-4330 | 2017-01-30 |
1326423534 | Tereo Narcotic Treatment Center, LLC | Clinic/Center | 2405 Northwestern Ave, Suite Lower Level, Racine, WI 53404-2534 | 2015-07-29 |
1659522613 | Quality Addiction Management | Clinic/Center | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2008-10-08 |
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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.