Organization Active NPI

Milwaukee Psychiatry SC

  • Psychiatry Physician
  • Thiensville, WI
National Provider Identifier
1124682174
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MILWAUKEE PSYCHIATRY SC
Practice address
122 Green Bay Rd Ste 101
Thiensville, WI 53092-1624
Phone
(608) 622-7776
Fax
(857) 216-6675
NPI assigned
Apr 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Matthew Weinlander, MDNPI 1043692700
Title
Medical Director
Phone
(608) 622-7776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

122 Green Bay Rd Ste 101
Thiensville, WI 53092-1624

Mailing address

122 Green Bay Rd Ste 101
Thiensville, WI 53092-1624
Phone (608) 622-7776

Other identifiers 1

IdentifierTypeStateIssuer
1043692700MedicaidMI

National Provider Directory

National Provider Directory

Locations

827 N Cass St
#9
Milwaukee, WI 53202
Phone (414) 368-9024

122 Green Bay Rd
Ste 101
Thiensville, WI 53092
Phone (608) 622-7776

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": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1124682174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GREEN BAY RD STE 101",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921624",
            "telephone_number": "608-622-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GREEN BAY RD STE 101",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921624",
            "telephone_number": "608-622-7776",
            "fax_number": "857-216-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE PSYCHIATRY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "WEINLANDER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "608-622-7776",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043692700",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thiensville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.