Individual provider Active NPI

Mindas Siliunas, M.D.

  • Psychiatry Physician
  • Wauwatosa, WI
National Provider Identifier
1417976747
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25434-020 Issued in WI
Practice address
2600 N Mayfair Rd
Suite 305
Wauwatosa, WI 53226-1309
Phone
(414) 257-0233
Fax
(414) 257-3588
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25434-020 WI Primary

Addresses

Primary practice location

2600 N Mayfair Rd
Suite 305
Wauwatosa, WI 53226-1309

Mailing address

2600 N Mayfair Rd
Suite 305
Wauwatosa, WI 53226-1309
Phone (414) 257-0233

Other identifiers 1

IdentifierTypeStateIssuer
3060440MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051212000489 WI Practitioner - PsychiatryPractitioner - General Practice 4688695232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: General Practice
Education
Rush Medical College of Rush University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stress Management and Mental Health ClinicsGroup PAC ID 8426954066, 10 clinicians

Practice addresses (Care Compare)

2514 S 102ND St
Suite 275
West Allis, WI 53227-2151
Phone (414) 329-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25434-020WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Frontiers TMS LLC Psychiatry CurrentSince Sep 28, 2019 Accepting new patients
New Frontiers Psychiatric SC Psychiatry CurrentSince Sep 28, 2019 Accepting new patients
Thousand Mile Journey LLC PastSince May 30, 2018 Accepting new patients

Locations

2675 N Mayfair Rd
Ste 400
Milwaukee, WI 53226
Phone (414) 350-2449

Interoperability endpoints

  • Direct secure messaging: msiliunas@nfpsychiatric.direct.kno2fy.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417976747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD",
            "address_2": "SUITE 305",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261309",
            "telephone_number": "414-257-0233",
            "fax_number": "414-257-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD",
            "address_2": "SUITE 305",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261309",
            "telephone_number": "414-257-0233",
            "fax_number": "414-257-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILIUNAS",
        "first_name": "MINDAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "25434-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3060440",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.