Active NPI
Inner City Behavior Services, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
National Provider Identifier
1437566023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Milwaukee, WI
- NPI 1467813956
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.