Organization Active NPI

RGN Family Behavioral Health, LLC

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1356907133
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
RGN FAMILY BEHAVIORAL HEALTH, LLC
Practice address
6917 W Oklahoma Ave
Milwaukee, WI 53219-2973
Phone
(414) 545-7425
NPI assigned
May 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Authorized official

Name
Mr. David John Guman
Title
Credentialing Coordinate
Phone
(414) 434-0908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

6917 W Oklahoma Ave
Milwaukee, WI 53219-2973

Mailing address

6917 W Oklahoma Ave
Milwaukee, WI 53219-2973
Phone (414) 545-7425

National Provider Directory

National Provider Directory

Locations

6917 W Oklahoma Ave
Milwaukee, WI 53219
Phone (414) 545-7245

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1356907133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 W OKLAHOMA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532192973",
            "telephone_number": "414-545-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 W OKLAHOMA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532192973",
            "telephone_number": "414-545-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGN FAMILY BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "GUMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATE",
        "authorized_official_telephone_number": "414-434-0908",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 16, 2019; 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.