Musserat Mirza

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

807-228 Issued in WI

Practice address

1020 N 12TH St Ste 200
Milwaukee, WI 53233-1308

Phone

(414) 773-4312

NPI assigned

Feb 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1043963762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 S FOXWOOD BLVD",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532284403",
            "telephone_number": "551-998-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N 12TH ST STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331308",
            "telephone_number": "414-773-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "MUSSERAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "807-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Mirer, MD, PHD, MPH
• Michelle Denise Mirhoseini, PSY.D.
• Natalie Rose Mironov, DO
• Shervin Mirshahi, M.D.
• Marshal J. Mirviss, M.D.
• Narine Mirzoyan
• Leah J Mische, MD
• M J Mishefske, MD
• Pragnyadipta Mishra, M.D.
• Prateek Mishra, MD

• Marriage & Family Therapist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.