Active NPI
Wisconsin Behavioral Health
- Substance Use Disorder Rehabilitation Clinic/Center
- Brookfield, WI
National Provider Identifier
1477468536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Amanda Winter, PA-C
- Maria Derosa Winter, RN
- John Nicholas Wirkus
- Cory Alan Wirth, DDS
- Molly Wirth
- Wisconsin CVS Pharmacy LLC (CVS Pharmacy #17633)
- Wisconsin CVS Pharmacy, L.L.C. (CVS Pharmacy# 06855)
- Wisconsin Dental Group, S.C. (ForwardDental Brookfield)
- Wisconsin Foot and Ankle Clinic, SC
- Wisconsin Heart Group
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.