NPIMap

Organization Active NPI

County of Milwaukee

  • Psychiatric Hospital
  • Milwaukee, WI
National Provider Identifier
1083728612
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
229 Issued in WI
Legal business name
COUNTY OF MILWAUKEE
Practice address
9455 W Watertown Plank Rd
Milwaukee, WI 53226-3559
Phone
(414) 257-6995
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Ms. Sheri Duquaine
Title
Patient Accounts Manager
Phone
(414) 391-8172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 229 WI Primary

Addresses

Primary practice location

9455 W Watertown Plank Rd
Milwaukee, WI 53226-3559

Mailing address

1220 W Vliet St FL 3
Milwaukee, WI 53205-2117
Phone (414) 257-6995

Other identifiers 2

IdentifierTypeStateIssuer
000000812OtherWIMEDICARE PTAN
10062900MedicaidWI

Other names 1

  • Milwaukee County Behavioral Health / Mental Health Complex Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 524001

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MILWAUKEE COUNTY BEHAVIORAL HEALTH DIVISION
Certification status
Terminated Voluntary: merger or closure, Sep 16, 2022
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 1, 1966
Last certification
Nov 23, 2021
Beds
234
Ownership / control type
Private (not for profit)
Facility address
9455 W Watertown Plank Rd
Milwaukee, WI 53226

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1919 W North Ave
Ste 200
Milwaukee, WI 53205
Phone (414) 257-7610

Practitioners & affiliated clinicians

Practitioners 6

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": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1083728612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W VLIET ST FL 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532052117",
            "telephone_number": "414-257-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9455 W WATERTOWN PLANK RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263559",
            "telephone_number": "414-257-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MILWAUKEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "DUQUAINE",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "414-391-8172",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "WI",
            "license": "229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000000812",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10062900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milwaukee County Behavioral Health / Mental Health Complex",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Milwaukee County Behavioral Health / Mental Health Complex",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.