Active NPI
Deberry Consultant Services and Behavioral Health
- Clinical Social Worker
- Milwaukee, WI
National Provider Identifier
1528316775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DEBERRY CONSULTANT SERVICES AND BEHAVIORAL HEALTH
- Practice address
- 6815 W Capitol Dr
Suite 118
Milwaukee, WI 53216-2070 - Phone
- (414) 416-1032
- Fax
- (855) 799-5917
- NPI assigned
- Aug 20, 2012
- 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
- Miss Barbara L. Deberry, LCSW
- Title
- Owner/Operator
- Phone
- (414) 416-1032
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6815 W Capitol Dr
Suite 118
Milwaukee, WI 53216-2070
Mailing address
6815 W Capitol Dr
Suite 118
Milwaukee, WI 53216-2070
Phone (414) 416-1032
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100013723 | Medicaid | WI | |
| 104100000X | Other | WI | CERTIFIED PSYCHOTHERAPIST TAXONOMY NUMBER |
| WI2885 | Other | WI | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
6815 W Capitol Dr
Ste 118
Milwaukee, WI 53216
Phone (262) 784-8511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465171200000",
"number": "1528316775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6815 W CAPITOL DR",
"address_2": "SUITE 118",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532162070",
"telephone_number": "414-416-1032",
"fax_number": "855-799-5917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6815 W CAPITOL DR",
"address_2": "SUITE 118",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532162070",
"telephone_number": "414-416-1032",
"fax_number": "855-799-5917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBERRY CONSULTANT SERVICES AND BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-20",
"last_updated": "2016-06-06",
"status": "A",
"authorized_official_last_name": "DEBERRY",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "414-416-1032",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100013723",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED PSYCHOTHERAPIST TAXONOMY NUMBER",
"identifier": "104100000X",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "WI2885",
"state": "WI"
}
],
"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 Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.