NPIMap

Organization Active NPI

Alan Sumwalt Psychotherapies LLC

  • Clinical Social Worker
  • Pewaukee, WI
National Provider Identifier
1528486263
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
346-123 Issued in WI
Legal business name
ALAN SUMWALT PSYCHOTHERAPIES LLC
Practice address
146 Park Ave
Pewaukee, Wi
Pewaukee, WI 53072-3410
Phone
(414) 588-6452
Fax
(262) 691-3005
NPI assigned
Mar 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Alan W Sumwalt, MSW, LCSW, LMFT
Title
Director
Phone
(414) 588-6452

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 346-123 WI Primary
Adult Mental Health Clinic/Center 261QM0850X 346-123 WI

Addresses

Primary practice location

146 Park Ave
Pewaukee, Wi
Pewaukee, WI 53072-3410

Mailing address

146 Park Ave
Pewaukee, Wi
Pewaukee, WI 53072-3410
Phone (414) 588-6452

National Provider Directory

National Provider Directory

Locations

146 Park Ave
Pewaukee, WI 53072
Phone (262) 691-1000

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1528486263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 PARK AVE",
            "address_2": "PEWAUKEE, WI",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723410",
            "telephone_number": "414-588-6452",
            "fax_number": "262-691-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 PARK AVE",
            "address_2": "PEWAUKEE, WI",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723410",
            "telephone_number": "414-588-6452",
            "fax_number": "262-691-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN SUMWALT PSYCHOTHERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "SUMWALT",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-588-6452",
        "authorized_official_credential": "MSW, LCSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "346-123",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WI",
            "license": "346-123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.