Sleep Wellness Institute, Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

SLEEP WELLNESS INSTITUTE, INC

Practice address

2356 S 102ND St
Suite B
West Allis, WI 53227-2104

Phone

(414) 336-3000

Fax

(414) 336-1015

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Vernon Ron Baake

Title

Ceo

Phone

(414) 336-3000

Specialties & licenses 2

Addresses

Other identifiers 10

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1184791568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 S 102ND ST",
            "address_2": "SUITE B",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272104",
            "telephone_number": "414-336-3000",
            "fax_number": "414-336-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 S 102ND ST",
            "address_2": "SUITE B",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272104",
            "telephone_number": "414-336-3000",
            "fax_number": "414-336-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP WELLNESS INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "BAAKE",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "RON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-336-3000"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR JACOBSON NPI",
            "identifier": "1912981796",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR MATHAI",
            "identifier": "1104854363",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR HARDEN",
            "identifier": "1144380577",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEA GROUP NUMBER",
            "identifier": "110004519",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP NUMBER",
            "identifier": "6758909",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR DAVOODI",
            "identifier": "1811924343",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "470000838",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR KUMAR",
            "identifier": "1275694291",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32890000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE GROUP #",
            "identifier": "1600270",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn D'Ambrose Slaboch, M.S., CFY-SLP
• Jennifer M Slaske, LPN
• Vera Slavic-Svircev, M.D.
• Sleep Service Center LLC
• Sleep Services of Wisconsin, LLC
• Stephanie J Slock, M.D.
• Pamela Jo Sluka, OTR
• Jessica Ann Smallpage
• Barbara Ann Smith, RN
• Brianna A Smith, PSYD

• Sleep Disorder Diagnostic Clinic/Center in West Allis, WI
• Providers in West Allis, WI by specialty
• Sleep Disorder Diagnostic Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.