Jacob M Behrens, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

55027-20 Issued in WI

Practice address

1045 W Glen Oaks LN
Ste 205
Milwaukee, WI 53202-5320

Phone

(414) 909-2343

NPI assigned

May 8, 2009

Last updated

Dec 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Envision ADHD, S.C.

  • Psychiatry Physician
  • Mequon, WI
  • NPI 1841739513
  Authorized official Same address or phone
• Brightside Medical, P.a.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1609335660
  NPD

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1144454927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 W LE GRANDE BLVD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925220",
            "telephone_number": "920-450-4947",
            "fax_number": "888-866-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W GLEN OAKS LN",
            "address_2": "STE 205",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025320",
            "telephone_number": "414-909-2343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Rainbow Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891071061",
            "country_code": "US",
            "telephone_number": "414-909-2343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1465 Woodbury Ave",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038013210",
            "country_code": "US",
            "telephone_number": "832-604-3771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "496 Fort St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "WY",
            "postal_code": "828341806",
            "country_code": "US",
            "telephone_number": "832-835-2101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5123 W 98th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554372040",
            "country_code": "US",
            "telephone_number": "832-604-3771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9428 W Fairview Ave",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048101",
            "country_code": "US",
            "telephone_number": "832-604-3771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9428 W Fairview Ave",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048101",
            "country_code": "US",
            "telephone_number": "832-604-3771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHRENS",
        "first_name": "JACOB",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-08",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "62301",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "MC-0001",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "55027-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behnaz Behmaram, MD
• Mariah Behr, RN
• Victoria Leigh Behr, PHD
• Julia Behrend
• Allison Behrens, PHARMD
• Jessica Ann Behrens, DO
• Katelyn A Behring, PA-C
• Matthew Beier, RN CNS-BC
• Patrick A Beiermeister, PHARMD
• Joseph Beiler, APNP

• Psychiatry Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.