NPIMap

Organization Active NPI

Sixteenth Street Community Health Center, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1023752045
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC
Practice address
1515 S 29TH St
Milwaukee, WI 53215-1912
Phone
(414) 672-1353
Fax
(414) 672-0191
NPI assigned
Apr 26, 2022
Organization subpart
Yes
Parent organization
16TH STREET COMMUNITY HEALTH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tanya M Stamps
Title
Chief Financial Officer
Phone
(414) 897-5407

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1515 S 29TH St
Milwaukee, WI 53215-1912

Mailing address

PO Box 778789
Chicago, IL 60677-0001
Phone (414) 672-1353

Other names 1

  • Nativity Jesuit Academy Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2229385Nativity Jesuit Academy1515 S 29TH St, Milwaukee, WI 53215Certificate of waiverJul 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sixteenth St Com HLTH C33 organizations share this tax ID, including this one
Part of
Sixteenth St Com HLTH C

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

1515 S 29th St
Milwaukee, WI 53215

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1023752045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778789",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770001",
            "telephone_number": "414-672-1353",
            "fax_number": "414-672-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S 29TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532151912",
            "telephone_number": "414-672-1353",
            "fax_number": "414-672-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "16TH STREET COMMUNITY HEALTH CENTER, INC",
        "enumeration_date": "2022-04-26",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "STAMPS",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "414-897-5407"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nativity Jesuit Academy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Nativity Jesuit Academy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.