Organization Active NPI

Chicago Mind Solutions - Mke LLC

  • Psychologist
  • Shorewood, WI
National Provider Identifier
1407676851
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CHICAGO MIND SOLUTIONS - MKE LLC
Practice address
3970 N Oakland Ave Ste 200
Shorewood, WI 53211-2291
Phone
(414) 231-9108
NPI assigned
Oct 11, 2024
Last updated
Oct 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Dr. Jared Treiber, PH.D.
Title
Psychologist
Phone
(917) 400-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

3970 N Oakland Ave Ste 200
Shorewood, WI 53211-2291

Mailing address

3970 N Oakland Ave Ste 200
Shorewood, WI 53211-2291
Phone (414) 231-9108

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1407676851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 N OAKLAND AVE STE 200",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112291",
            "telephone_number": "414-231-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 N OAKLAND AVE STE 200",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112291",
            "telephone_number": "414-231-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO MIND SOLUTIONS - MKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "TREIBER",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-400-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.