Organization Active NPI

Inner City Behavior Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
National Provider Identifier
1437566023
Registry record updated Aug 6, 2014
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
INNER CITY BEHAVIOR SERVICES, LLC
Practice address
3020 W Vliet St
Milwaukee, WI 53208-2461
Phone
(414) 445-8721
Fax
(414) 455-3292
NPI assigned
Jul 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Mrs. Barbara Ann Tripp II, CSAC
Title
Ceo
Phone
(414) 445-8721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3020 W Vliet St
Milwaukee, WI 53208-2461

Mailing address

3897 N 40TH St
Milwaukee, WI 53216-3063
Phone (414) 445-8721

National Provider Directory

National Provider Directory
Tax ID family
Inner City Behavior Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3020 W Vliet St
Milwaukee, WI 53208
Phone (414) 312-8910

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1437566023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3897 N 40TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163063",
            "telephone_number": "414-445-8721",
            "fax_number": "414-455-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 W VLIET ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082461",
            "telephone_number": "414-445-8721",
            "fax_number": "414-455-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER CITY BEHAVIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-445-8721",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "CSAC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.