Organization Active NPI

Deberry Consultant Services and Behavioral Health

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1528316775
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jun 6, 2016

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100013723MedicaidWI
104100000XOtherWICERTIFIED PSYCHOTHERAPIST TAXONOMY NUMBER
WI2885OtherWIMEDICARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.