NPIMap

Organization Active NPI

Catholic Charities of the Archdiocese of Milwaukee Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Racine, WI
National Provider Identifier
1215911938
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1135 Issued in WI
Legal business name
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC
Practice address
2711 19TH St
Racine, WI 53403-2314
Phone
(262) 637-8888
Fax
(262) 637-0695
NPI assigned
Dec 6, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary D Howley, MSW LCSW
Title
Director of Operations
Phone
(414) 769-3416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1135 WI Primary

Addresses

Primary practice location

2711 19TH St
Racine, WI 53403-2314

Mailing address

2711 19TH St
Racine, WI 53403-2314
Phone (262) 637-8888

Other identifiers 1

IdentifierTypeStateIssuer
44010400MedicaidWI

Other names 1

  • Catholic Social Services of The Archdiocese of Milwaukee Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Archdiocese of Milwaukee Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2711 19th St
Racine, WI 53403
Phone (262) 637-3886

Practitioners & affiliated clinicians

Practitioners 2

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": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215911938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 19TH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032314",
            "telephone_number": "262-637-8888",
            "fax_number": "262-637-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 19TH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032314",
            "telephone_number": "262-637-8888",
            "fax_number": "262-637-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWLEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "414-769-3416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "1135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44010400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Social Services of The Archdiocese of Milwaukee Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.