Organization Active NPI

Jerry Kahn Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wauwatosa, WI
National Provider Identifier
1104591114
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JERRY KAHN THERAPY, LLC
Practice address
10855 W Potter Rd Ste 28
Wauwatosa, WI 53226-3439
Phone
(414) 803-7238
NPI assigned
Aug 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Jerry M Kahn
Title
LCSW
Phone
(414) 803-7238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10855 W Potter Rd Ste 28
Wauwatosa, WI 53226-3439

Mailing address

10855 W Potter Rd Ste 28
Wauwatosa, WI 53226-3439
Phone (414) 803-7238

National Provider Directory

National Provider Directory

Locations

10855 W Potter Rd
Ste 28
Wauwatosa, WI 53226
Phone (414) 803-7238

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1104591114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10855 W POTTER RD STE 28",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263439",
            "telephone_number": "414-803-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10855 W POTTER RD STE 28",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263439",
            "telephone_number": "414-803-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY KAHN THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "414-803-7238"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Nov 1, 2021; 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.