Active NPI
Marla Mental Health Solutions LLC
- Family Medicine Physician
- Milwaukee, WI
National Provider Identifier
1346848397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MARLA MENTAL HEALTH SOLUTIONS LLC
- Practice address
- 5330 W Villard Ave
Milwaukee, WI 53218-4345 - Phone
- (262) 292-4777
- Fax
- (262) 518-7025
- NPI assigned
- Oct 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stella Mildred Hahaga, NP
- Title
- Owner
- Phone
- (414) 773-4312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
5330 W Villard Ave
Milwaukee, WI 53218-4345
Mailing address
PO Box 639
Thiensville, WI 53092-0639
Phone (414) 247-9005
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255598140 | Other | WI | FAMILY MEDICINE |
| 100141629 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619049600000",
"number": "1346848397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639",
"city": "THIENSVILLE",
"state": "WI",
"postal_code": "530920639",
"telephone_number": "414-247-9005",
"fax_number": "414-247-9004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5330 W VILLARD AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532184345",
"telephone_number": "262-292-4777",
"fax_number": "262-518-7025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARLA MENTAL HEALTH SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-13",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A",
"authorized_official_last_name": "HAHAGA",
"authorized_official_first_name": "STELLA",
"authorized_official_middle_name": "MILDRED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-773-4312",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY MEDICINE",
"identifier": "1255598140",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100141629",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.