Parkland Clinic-Muni H Patel MD SC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PARKLAND CLINIC-MUNI H PATEL MD SC

Practice address

2600 N Mayfair Rd
Ste 850
Milwaukee, WI 53226-1309

Phone

(414) 771-2088

Fax

(414) 771-6308

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Muni Patel, MD

Title

President

Phone

(414) 771-2088

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

Practitioners 3

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

• Terry Carr, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1366634685
  NPD (past)
• Perry William Johnston, MSW

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1154421550
  NPD (past)
• Nancy Margaret Kalmerton, MS

  • Clinical Social Worker
  • Wauwatosa, WI
  • NPI 1447341433
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1174748628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD",
            "address_2": "STE 850",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261309",
            "telephone_number": "414-771-2088",
            "fax_number": "414-771-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD",
            "address_2": "STE 850",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261309",
            "telephone_number": "414-771-2088",
            "fax_number": "414-771-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLAND CLINIC-MUNI H PATEL MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MUNI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-771-2088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTHCARE",
            "identifier": "554859",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "15-66305",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS PROVIDER",
            "identifier": "221695",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "394723651003",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "394509835002",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "930564044001",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "106502324002",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30241700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parkers Manor of Care
• Parkers Manor of Care Health Services
• John Thomas Parkhurst, PHD
• Bryan Edward Parkinson, PA-C
• Erin L Parkinson, CNM
• Elizabeth Parks
• Joy Parks
• Nicholas Parks
• Parkway Dental, S.C.
• Gregg J Parnau, R.PH.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.