Organization Active NPI

Jir Psychiatry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elm Grove, WI
National Provider Identifier
1174126254
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JIR PSYCHIATRY
Practice address
13500 Watertown Plank Rd
#102
Elm Grove, WI 53122-2222
Phone
(262) 794-3076
Fax
(949) 655-2632
NPI assigned
Nov 19, 2020
Last updated
Nov 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Tamara Fritsch
Title
Credentialing and Billing Manager
Phone
(414) 793-4277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

13500 Watertown Plank Rd
#102
Elm Grove, WI 53122-2222

Mailing address

13500 Watertown Plank Rd
#102
Elm Grove, WI 53122-2222
Phone (262) 794-3076

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1174126254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 WATERTOWN PLANK RD",
            "address_2": "#102",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222222",
            "telephone_number": "262-794-3076",
            "fax_number": "949-655-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 WATERTOWN PLANK RD",
            "address_2": "#102",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222222",
            "telephone_number": "262-794-3076",
            "fax_number": "949-655-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIR PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "FRITSCH",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "CREDENTIALING AND BILLING MANAGER",
        "authorized_official_telephone_number": "414-793-4277"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elm Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.