Organization Active NPI

Stream and Mountain, LLC

  • Clinical Psychologist
  • Wauwatosa, WI
National Provider Identifier
1053102368
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
STREAM AND MOUNTAIN, LLC
Practice address
2600 N Mayfair Rd Ste 590
Wauwatosa, WI 53226-1306
Phone
(262) 894-5589
Fax
(414) 404-5882
NPI assigned
May 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Tamara Fritsch
Title
Administrator
Phone
(414) 698-6197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2600 N Mayfair Rd Ste 590
Wauwatosa, WI 53226-1306

Mailing address

2600 N Mayfair Rd Ste 590
Wauwatosa, WI 53226-1306
Phone (262) 894-5589

National Provider Directory

National Provider Directory

Locations

2600 N Mayfair Rd
Ste 590
Wauwatosa, WI 53226
Phone (262) 894-5589

Practitioners & affiliated clinicians

Practitioners 1

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": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1053102368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD STE 590",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261306",
            "telephone_number": "262-894-5589",
            "fax_number": "414-404-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD STE 590",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261306",
            "telephone_number": "262-894-5589",
            "fax_number": "414-404-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREAM AND MOUNTAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "FRITSCH",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-698-6197"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.