NPIMap

Organization Active NPI

Vivent Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Schofield, WI
National Provider Identifier
1447543434
Registry record updated May 12, 2022
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
VIVENT HEALTH INC
Practice address
1105 Grand Ave
Suite 1
Schofield, WI 54476-1168
Phone
(715) 355-6867
Fax
(715) 355-0640
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Mr. Tim Dyer
Title
Exec VP
Phone
(866) 525-5484

Specialties & licenses 1

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

Addresses

Primary practice location

1105 Grand Ave
Suite 1
Schofield, WI 54476-1168

Mailing address

820 N Plankinton Ave
Milwaukee, WI 53203-1802
Phone (414) 225-1542

Other identifiers 1

IdentifierTypeStateIssuer
42228200MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
AIDS Resource Ctr Wi in7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1447543434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N PLANKINTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031802",
            "telephone_number": "414-225-1542",
            "fax_number": "414-225-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 GRAND AVE",
            "address_2": "SUITE 1",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544761168",
            "telephone_number": "715-355-6867",
            "fax_number": "715-355-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVENT HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "EXEC VP",
        "authorized_official_telephone_number": "866-525-5484",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42228200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schofield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.