Center for Emotional Wellness LLC.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

CENTER FOR EMOTIONAL WELLNESS LLC.

Doing business as

Center Of Emotional Wellness

Practice address

W156N8327 Pilgrim Rd Ste 301
Menomonee FLS, WI 53051-3776

Phone

(262) 235-3311

Fax

(262) 235-3310

NPI assigned

Mar 6, 2019

Organization subpart

No

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

Authorized official

Name

Chirag Shah, MDNPI 1033305941

Title

Medical Director

Phone

(262) 235-3311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Center Of Emotional Wellness Doing business as

Locations

Practitioners 1

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

• Chirag G. Shah, MD

  • Child & Adolescent Psychiatry Physician
  • Brookfield, WI
  • NPI 1033305941
  NPD Authorized official

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1104384387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W156N8327 PILGRIM RD STE 301",
            "city": "MENOMONEE FLS",
            "state": "WI",
            "postal_code": "530513776",
            "telephone_number": "262-235-3311",
            "fax_number": "262-235-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W156N8327 PILGRIM RD STE 301",
            "city": "MENOMONEE FLS",
            "state": "WI",
            "postal_code": "530513776",
            "telephone_number": "262-235-3311",
            "fax_number": "262-235-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR EMOTIONAL WELLNESS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "262-235-3311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1033305941",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Of Emotional Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Child & Adolescent Psychiatry Physician in Menomonee FLS, WI
• Providers in Menomonee FLS, WI by specialty
• Child & Adolescent Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.