Lee M Gruenwald, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

44431 Issued in WI

Practice address

4065 N 35TH St
Milwaukee, WI 53216-1705

Phone

(414) 445-9180

Fax

(414) 445-5995

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Bell Therapy, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Milwaukee, WI
  • NPI 1205987187
  NPD (past)
• County of Milwaukee

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1831256353
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1437116357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 N 35TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161705",
            "telephone_number": "414-445-9180",
            "fax_number": "414-445-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 N 35TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161705",
            "telephone_number": "414-445-9180",
            "fax_number": "414-445-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENWALD",
        "first_name": "LEE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "44431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34276900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carter Riley Gruber, MS, LPC-IT
• Dean Matthew Gruber, RPH
• Milosh Grubor, M.D.
• Robert A Gruenberg, PSY.D.
• James Richard Gruenewald, PA-C
• Penny Lue Gruettner, R.D.
• Brenda J Grulke, LPC
• Clement M Grum, M.D.
• John T. Grum, M.D.
• Karen Elizabeth Grumstrup, NURSE PRACTITIONER

• Child & Adolescent Psychiatry Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Child & Adolescent Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.