Marvel Coleman

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

8201 W Capitol Dr Ste 100
Milwaukee, WI 53222-1948

Phone

(414) 460-8820

Fax

(414) 433-1919

NPI assigned

Feb 25, 2025

Last updated

Feb 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1558168955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 W LOCUST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101466",
            "telephone_number": "414-460-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 W CAPITOL DR STE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221948",
            "telephone_number": "414-460-8820",
            "fax_number": "414-433-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MARVEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laquisha Monay Coleman
• Latasha R Coleman
• Maccrianna Coleman, RN
• Madelyn Coleman
• Marquasha N Coleman
• Matthew Coleman
• Rowena Coleman
• Sara K. Coleman, PSYD
• Tiera Coleman
• Colibri Psychology Group, LLC

• Driver in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Driver in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.