Active NPI
Christina Brigham
- Clinical Social Worker
- Brown Deer, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8252-123
- Practice address
- 3900 W Brown Deer Rd
Ste 200
Brown Deer, WI 53209-1220 - Phone
- (414) 540-2170
- Fax
- (414) 540-2171
- NPI assigned
- Nov 15, 2012
- Last updated
- Jan 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15949-131 | WI | |
| Clinical Social Worker | 1041C0700X | 8252-123 | WI | Primary |
Addresses
Primary practice location
3900 W Brown Deer Rd
Ste 200
Brown Deer, WI 53209-1220
Mailing address
3900 W Brown Deer Rd
Ste 200
Brown Deer, WI 53209-1220
Phone (414) 540-2170
Other names 1
- Christina Pompe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2675 N Mayfair Rd
Suite 400
Milwaukee, WI 53226-1305
Phone (414) 763-6910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15949-131 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Frontiers Psychiatric SC | Current | Accepting new patients | |
| New Frontiers TMS LLC | Current | Accepting new patients | |
| Shorehaven Behavioral Health Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
2675 N Mayfair Rd
Ste 400
Milwaukee, WI 53226
Phone (414) 350-2449
3900 W Brown Deer Rd
Ste 200
Milwaukee, WI 53209
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Milwaukee, WI
- NPI 1003390394
-
- Child & Adolescent Psychiatry Physician
- Milwaukee, WI
- NPI 1598800740
-
- Psychiatry Physician
- Milwaukee, WI
- NPI 1740764034
-
- Clinical Psychologist
- Brown Deer, WI
- NPI 1891887055
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1467796433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 W BROWN DEER RD",
"address_2": "STE 200",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "532091220",
"telephone_number": "414-540-2170",
"fax_number": "414-540-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 W BROWN DEER RD",
"address_2": "STE 200",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "532091220",
"telephone_number": "414-540-2170",
"fax_number": "414-540-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHAM",
"first_name": "CHRISTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "15949-131",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "8252-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "POMPE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brown Deer, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.