Active NPI
Milwaukee Psychiatry SC
- Psychiatry Physician
- Thiensville, WI
National Provider Identifier
1124682174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Weinlander, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043692700 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.