Organization Active NPI

Neurological Wellness Clinic, SC

  • Neurology Physician
  • Pewaukee, WI
National Provider Identifier
1366779944
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
40003-20 Issued in WI
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

Updated by the provider on Mar 17, 2018

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.