NPIMap

Organization Active NPI

Multicultural Trauma and Addiction Treatment Center of Wisconsin

  • Professional Counselor
  • Wauwatosa, WI
National Provider Identifier
1376013516
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MULTICULTURAL TRAUMA AND ADDICTION TREATMENT CENTER OF WISCONSIN
Practice address
2222 N Mayfair Rd Ste 120
Wauwatosa, WI 53226-2262
Phone
(414) 939-9390
Fax
(414) 939-9383
NPI assigned
Nov 30, 2018
Last updated
Nov 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Dr. Maria Amarante, LPCNPI 1871842104
Title
PH.D / Owner
Phone
(973) 876-3663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2222 N Mayfair Rd Ste 120
Wauwatosa, WI 53226-2262

Mailing address

2222 N Mayfair Rd Ste 120
Wauwatosa, WI 53226-2262
Phone (414) 939-9390

National Provider Directory

National Provider Directory

Locations

2222 N Mayfair Rd
Ste 120
Wauwatosa, WI 53226
Phone (414) 394-5517

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1376013516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N MAYFAIR RD STE 120",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262262",
            "telephone_number": "414-939-9390",
            "fax_number": "414-939-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N MAYFAIR RD STE 120",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262262",
            "telephone_number": "414-939-9390",
            "fax_number": "414-939-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICULTURAL TRAUMA AND ADDICTION TREATMENT CENTER OF WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "AMARANTE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PH.D / OWNER",
        "authorized_official_telephone_number": "973-876-3663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.