Active NPI
Neurological Wellness Clinic, SC
- Neurology Physician
- Pewaukee, WI
National Provider Identifier
1366779944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 40003-20
- Legal business name
- NEUROLOGICAL WELLNESS CLINIC, SC
- Practice address
- 2347 Silvernail Rd
Pewaukee, WI 53072-5402 - Phone
- (262) 522-4047
- NPI assigned
- Nov 3, 2009
- 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
- Sean A Jochims, MD
- Title
- President
- Phone
- (262) 522-3070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 40003-20 | WI | Primary |
Addresses
Primary practice location
2347 Silvernail Rd
Pewaukee, WI 53072-5402
Mailing address
2347 Silvernail Road
Pewaukee, WI 53072
Phone (262) 522-4047
Other practice location 1
1111 Delafield St
Suite 219
Waukesha, WI 53188-3417
Phone (262) 522-3070
National Provider Directory
National Provider DirectoryLocations
2347 Silvernail Rd
Pewaukee, WI 53072
Phone (262) 522-3070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1366779944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2347 SILVERNAIL ROAD",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "53072",
"telephone_number": "262-522-4047",
"fax_number": "262-522-3071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2347 SILVERNAIL RD",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530725402",
"telephone_number": "262-522-4047"
}
],
"practiceLocations": [
{
"address_1": "1111 Delafield St",
"address_2": "Suite 219",
"address_purpose": "LOCATION",
"city": "Waukesha",
"state": "WI",
"postal_code": "531883417",
"country_code": "US",
"telephone_number": "262-522-3070",
"fax_number": "262-522-3071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEUROLOGICAL WELLNESS CLINIC, SC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-03",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "JOCHIMS",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "262-522-3070",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "40003-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pewaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.