NPIMap

Organization Active NPI

Greater Milwaukee Center for Health and Wellness Inc.

  • Clinic/Center
  • Glendale, WI
National Provider Identifier
1447644422
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GREATER MILWAUKEE CENTER FOR HEALTH AND WELLNESS INC.
Practice address
4655 N. Port Washington Road
Suite 325
Glendale, WI 53212-1000
Phone
(414) 269-8282
Fax
(414) 269-8280
NPI assigned
Mar 27, 2015
Last updated
Sep 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Ericka M Sinclair, MS, MPH
Title
Executive Director
Phone
(414) 269-8282

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Public Health or Welfare Agency 251K00000X NU
Clinic/Center 261Q00000X NU Primary
Non-Surgical Family Planning Clinic/Center 261QF0050X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Primary Care Clinic/Center 261QP2300X NU
Clinical Medical Laboratory 291U00000X NU

Addresses

Primary practice location

4655 N. Port Washington Road
Suite 325
Glendale, WI 53212-1000

Mailing address

4655 N Port Washington Road
Suite 325
Glendale, WI 53212-1000
Phone (414) 269-8282

Other identifiers 1

IdentifierTypeStateIssuer
1447644422MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1447644422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 N PORT WASHINGTON ROAD",
            "address_2": "SUITE 325",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121000",
            "telephone_number": "414-269-8282",
            "fax_number": "414-269-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 N. PORT WASHINGTON ROAD",
            "address_2": "SUITE 325",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121000",
            "telephone_number": "414-269-8282",
            "fax_number": "414-269-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MILWAUKEE CENTER FOR HEALTH AND WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-269-8282",
        "authorized_official_credential": "MS, MPH"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447644422",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.