NPIMap

Organization Active NPI

New Life Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukesha, WI
National Provider Identifier
1437522893
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEW LIFE BEHAVIORAL HEALTH LLC
Practice address
300 E Broadway
Box 1924
Waukesha, WI 53186-5057
Phone
(262) 278-0651
Fax
(262) 232-0866
NPI assigned
Nov 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Authorized official

Name
Kristin Anderson-Cronin, PMHNP-BC
Title
Psychiatric / Mental Health NP
Phone
(414) 841-8811

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163W00000X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

300 E Broadway
Box 1924
Waukesha, WI 53186-5057

Mailing address

300 E Broadway
PO Box 1924
Waukesha, WI 53186-5057
Phone (262) 278-0651

Other identifiers 1

IdentifierTypeStateIssuer
1558650705MedicaidWI

Other names 1

  • New Life BH LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1437522893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E BROADWAY",
            "address_2": "PO BOX 1924",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531865057",
            "telephone_number": "262-278-0651",
            "fax_number": "262-232-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BROADWAY",
            "address_2": "BOX 1924",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531865057",
            "telephone_number": "262-278-0651",
            "fax_number": "262-232-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-CRONIN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PSYCHIATRIC / MENTAL HEALTH NP",
        "authorized_official_telephone_number": "414-841-8811",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558650705",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life BH LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.