Shorehaven Behavioral Health

Primary specialty

Art TherapistTaxonomy code 221700000X

Legal business name

SHOREHAVEN BEHAVIORAL HEALTH

Practice address

3900 W Brown Deer Rd
Brown Deer, WI 53209-1220

Phone

(414) 540-2170

Fax

(414) 540-2171

NPI assigned

Jan 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina Kaye Szada, M.S., ATR

Title

In-Home Therapist

Phone

(414) 540-2170

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245384957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W BROWN DEER RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091220",
            "telephone_number": "414-540-2170",
            "fax_number": "414-540-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W BROWN DEER RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091220",
            "telephone_number": "414-540-2170",
            "fax_number": "414-540-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOREHAVEN BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SZADA",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "IN-HOME THERAPIST",
        "authorized_official_telephone_number": "414-540-2170",
        "authorized_official_credential": "M.S., ATR"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43708900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sereneaid LLC
• Rene F Settle-Robinson, DPM
• Callen Shaw
• Dawn K Shelton-Williams, LCSW
• Tiffany Sandra Sheperd, DNP, RN
• Shorehaven Behavioral Health Inc
• Sarah Siker, MA
• Michelle Ann Simmons
• Jeffrey Scott Simon, MD
• Glenn Martin Skattebo

• Art Therapist in Brown Deer, WI
• Providers in Brown Deer, WI by specialty
• Art Therapist in Wisconsin

• 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.