NPIMap

Organization Active NPI

R.E.a.C.H. Inc. Comprehensive Mental Health Clinic

  • Community/Behavioral Health Agency
  • Glendale, WI
National Provider Identifier
1144555152
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2882 Issued in WI
Legal business name
R.E.A.C.H. INC. COMPREHENSIVE MENTAL HEALTH CLINIC
Practice address
6310 N Port Washington Rd
Glendale, WI 53217-4300
Phone
(414) 961-1600
Fax
(414) 961-1616
NPI assigned
Oct 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Roger Pumphrey
Title
President
Phone
(414) 961-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2882 WI Primary

Addresses

Primary practice location

6310 N Port Washington Rd
Glendale, WI 53217-4300

Mailing address

6310 N Port Washington Rd
Glendale, WI 53217-4300
Phone (414) 961-1600

National Provider Directory

National Provider Directory

Locations

4550 W Bradley Rd
Milwaukee, WI 53223
Phone (414) 371-1600

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1144555152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 N PORT WASHINGTON RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174300",
            "telephone_number": "414-961-1600",
            "fax_number": "414-961-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 N PORT WASHINGTON RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174300",
            "telephone_number": "414-961-1600",
            "fax_number": "414-961-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.E.A.C.H. INC. COMPREHENSIVE MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "PUMPHREY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-961-1600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.