NPIMap

Organization Active NPI

Northern Crossing Behavioral Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
National Provider Identifier
1144400383
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2685 Issued in WI
Legal business name
NORTHERN CROSSING BEHAVIORAL HEALTH SERVICES, LLC
Practice address
5303 W North Ave
Milwaukee, WI 53208
Phone
(414) 445-0997
Fax
(414) 445-0989
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Authorized official

Name
Amber Radulovich
Title
Billing Manager
Phone
(414) 445-0997

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2685 WI Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 2685 WI

Addresses

Primary practice location

5303 W North Ave
Milwaukee, WI 53208

Mailing address

5303 W North Ave
Milwaukee, WI 53208-1021
Phone (414) 445-0997

National Provider Directory

National Provider Directory
Tax ID family
Northern Crossing Behavioral Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

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": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1144400383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 W NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081021",
            "telephone_number": "414-445-0997",
            "fax_number": "414-445-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 W NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53208",
            "telephone_number": "414-445-0997",
            "fax_number": "414-445-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CROSSING BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "RADULOVICH",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "414-445-0997"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "2685",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WI",
            "license": "2685",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.