NPIMap

Organization Active NPI

Divine Interventions LLC

  • Community/Behavioral Health Agency
  • Milwaukee, WI
National Provider Identifier
1457644007
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
7618-123 Issued in WI
Legal business name
DIVINE INTERVENTIONS LLC
Practice address
3137 W Pierce St
Milwaukee, WI 53215-1117
Phone
(414) 645-9345
Fax
(414) 645-9345
NPI assigned
May 16, 2011
Last updated
May 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Miss Angela M Rivera, LCSW, CSAC, ICS
Title
Psychotherapist
Phone
(414) 645-9345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 7618-123 WI Primary

Addresses

Primary practice location

3137 W Pierce St
Milwaukee, WI 53215-1117

Mailing address

3137 W Pierce St
Milwaukee, WI 53215-1117
Phone (414) 645-9345

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1457644007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 W PIERCE ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532151117",
            "telephone_number": "414-645-9345",
            "fax_number": "414-645-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 W PIERCE ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532151117",
            "telephone_number": "414-645-9345",
            "fax_number": "414-645-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE INTERVENTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "414-645-9345",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW, CSAC, ICS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "7618-123",
            "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 May 16, 2011; 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.