Active NPI
Broadway Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Waukesha, WI
National Provider Identifier
1033052212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BROADWAY PSYCHIATRY LLC
- Practice address
- S23W23187 E Broadway
Waukesha, WI 53186 - Phone
- (262) 588-6774
- Fax
- (414) 296-8740
- NPI assigned
- Apr 13, 2026
- Last updated
- Apr 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Ward, MSN, APNP, PMHNP-BC
- Title
- Advanced Practice Nurse Prescriber
- Phone
- (262) 588-6774
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
S23W23187 E Broadway
Waukesha, WI 53186
Mailing address
S23W23187 E Broadway
Waukesha, WI 53186
Phone (262) 588-6774
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Waukesha, WI
- NPI 1174340319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776038400000",
"number": "1033052212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S23W23187 E BROADWAY",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53186",
"telephone_number": "262-588-6774",
"fax_number": "414-296-8740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S23W23187 E BROADWAY",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53186",
"telephone_number": "262-588-6774",
"fax_number": "414-296-8740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROADWAY PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "ADVANCED PRACTICE NURSE PRESCRIBER",
"authorized_official_telephone_number": "262-588-6774",
"authorized_official_credential": "MSN, APNP, PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.