Shorehaven Behavioral Health Inc
A Medicare group practice based in Mount Pleasant, WI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0143324954), with 25 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0143324954
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- WI
- Enrollments
- 1
- Group size
- 12 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20070404000380 | WI | Part B Supplier - Clinic/Group Practice | 1598800740 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Shorehaven Behavioral Health Inc
- Child & Adolescent Psychiatry Physician
- Milwaukee, WI
- NPI 1598800740
-
Shorehaven Behavioral Health Inc
- Clinical Neuropsychologist
- Waukesha, WI
- NPI 1265564678
-
Shorehaven Behavioral Health Inc
- Clinical Psychologist
- Brown Deer, WI
- NPI 1891887055
Practice locations
- Brown Deer, WI1
- Greenfield, WI1
- Mount Pleasant, WI1
Clinicians 25
Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (12).
-
Christina Brigham
- Clinical Social Worker
- Brown Deer, WI
- NPI 1467796433
-
Carla Dobre-Chastain
- Clinical Social Worker
- Brown Deer, WI
- NPI 1164208211
-
Farrukh Ghazala, M.D
- Marriage & Family Therapist
- Milwaukee, WI
- NPI 1104179019
-
Tonya Jean Gorst, MS
- Professional Counselor
- Brown Deer, WI
- NPI 1477613479
-
James Arnold Jensen, PHD
- Psychologist
- Wauwatosa, WI
- NPI 1083777635
-
Linda Renee Jowett, LPC
- Mental Health Counselor
- Brown Deer, WI
- NPI 1578856738
-
Nicole Klimowicz
- Professional Counselor
- Brown Deer, WI
- NPI 1801505409
-
Bradley D Klinger, MA
- Professional Counselor
- Brown Deer, WI
- NPI 1558774075
-
Mark La Fave
- Psychologist
- Brown Deer, WI
- NPI 1588121172
-
Payton Lett
- Marriage & Family Therapist
- Brown Deer, WI
- NPI 1336663145
-
Ayesha Maria
- Marriage & Family Therapist
- Brown Deer, WI
- NPI 1356813042
-
Linda Pulice, LPC
- Professional Counselor
- Brown Deer, WI
- NPI 1629644208
-
Sara Rahn
- Professional Counselor
- Brown Deer, WI
- NPI 1881260339
-
Michelle Ann Reickert, MA
- Professional Counselor
- Brown Deer, WI
- NPI 1548537111
-
Anthony Roach, PC-IT, SW
- Professional Counselor
- Brown Deer, WI
- NPI 1083968200
-
Ian Roudebush
- Professional Counselor
- Brown Deer, WI
- NPI 1710606520
-
Eliese Christine Rucktenwald, M.S.W., LCSW
- Clinical Social Worker
- Brown Deer, WI
- NPI 1689851313
-
Bruce A Semon, MD
- Psychiatry Physician
- Milwaukee, WI
- NPI 1114020773
-
Callen Shaw
- Professional Counselor
- Brown Deer, WI
- NPI 1578304101
-
Sarah Sleider
- Clinical Social Worker
- Brown Deer, WI
- NPI 1740927110
-
Hannah Theer
- Professional Counselor
- Brown Deer, WI
- NPI 1346011087
-
Todd M. Thomas, LCSW, LICSW, LMFT
- Social Worker
- Milwaukee, WI
- NPI 1932452448
-
Amber Ward, PA
- Physician Assistant
- Milwaukee, WI
- NPI 1760613327
-
Jessica Ann Weyer, MSW RAPCI LCSW
- Social Worker
- Milwaukee, WI
- NPI 1104924018
-
Susell Zarza-O'Neill
- Clinical Social Worker
- Brown Deer, WI
- NPI 1043081870
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.