Organization Active NPI

Wisconsin Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brookfield, WI
National Provider Identifier
1477468536
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
WISCONSIN BEHAVIORAL HEALTH
Practice address
15850 W Bluemound Rd Ste 210
Brookfield, WI 53005-6008
Phone
(262) 474-3589
NPI assigned
Aug 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Ryan Croall
Title
Ceo
Phone
(413) 231-2523

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

15850 W Bluemound Rd Ste 210
Brookfield, WI 53005-6008

Mailing address

1030 SE 14TH Dr
Deerfield Beach, FL 33441-7231

National Provider Directory

National Provider Directory

Locations

15850 W Bluemound Rd
Ste 210
Brookfield, WI 53005

NPI Registry JSON

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1477468536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SE 14TH DR",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334417231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15850 W BLUEMOUND RD STE 210",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056008",
            "telephone_number": "262-474-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "CROALL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "413-231-2523"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.