Reconnections

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1775 Issued in WI

Legal business name

RECONNECTIONS

Practice address

921 W Glendale Ave
Glendale, WI 53209-6513

Phone

(414) 221-9293

Fax

(414) 221-9532

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. B. Hal Dessel, LCSW, CADC IIINPI 1033259676

Title

Owner, Clinic Director

Phone

(414) 221-9293

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• B. Hal Dessel, LCSW, CADC III

  • Addiction (Substance Use Disorder) Counselor
  • Glendale, WI
  • NPI 1033259676
  NPD (past) Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1386784742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W GLENDALE AVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532096513",
            "telephone_number": "414-221-9293",
            "fax_number": "414-221-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W GLENDALE AVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532096513",
            "telephone_number": "414-221-9293",
            "fax_number": "414-221-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "DESSEL",
        "authorized_official_first_name": "B.",
        "authorized_official_middle_name": "HAL",
        "authorized_official_title_or_position": "OWNER, CLINIC DIRECTOR",
        "authorized_official_telephone_number": "414-221-9293",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, CADC III"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "1775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42211500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Puccinelli, M.D.
• Elishia L. Pulliam, MS, LPC
• Mary A. Quinn, DDS
• R.E.a.C.H. Inc. Comprehensive Mental Health Clinic
• RDC Pharmacy LLC
• Barbara Unger Rector, PT
• Reliable Medical Resources LLC
• Restoration Dental LLC
• Michele Reyes, D.O.
• Keaohna Reynolds, R.N.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Glendale, WI
• Providers in Glendale, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.