NPIMap

Organization Active NPI

Cynthia a Noffsinger LLC

  • Health Maintenance Organization
  • Brookfield, WI
National Provider Identifier
1578867107
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1861-123 Issued in WI
Legal business name
CYNTHIA A NOFFSINGER LLC
Practice address
13500 W Capitol Dr
Suite 104
Brookfield, WI 53005-2444
Phone
(262) 781-1976
Fax
(262) 781-1997
NPI assigned
Dec 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Cynthia A Noffsinger, MSW, LCSW
Title
Psychotherapist
Phone
(262) 781-1976

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 1861-123 WI
Health Maintenance Organization 302R00000X 1861-123 WI Primary
Preferred Provider Organization 305R00000X 1861-123 WI
Point of Service 305S00000X 1861-123 WI

Addresses

Primary practice location

13500 W Capitol Dr
Suite 104
Brookfield, WI 53005-2444

Mailing address

13500 W Capitol Dr
Suite 104
Brookfield, WI 53005-2444
Phone (262) 781-1976

Other identifiers 1

IdentifierTypeStateIssuer
41003800MedicaidWI

National Provider Directory

National Provider Directory

Locations

13500 W Capitol Dr
Ste 104
Brookfield, WI 53005
Phone (262) 781-1976

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1578867107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 W CAPITOL DR",
            "address_2": "SUITE 104",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052444",
            "telephone_number": "262-781-1976",
            "fax_number": "262-781-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 W CAPITOL DR",
            "address_2": "SUITE 104",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052444",
            "telephone_number": "262-781-1976",
            "fax_number": "262-781-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA A NOFFSINGER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "NOFFSINGER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "262-781-1976",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "WI",
            "license": "1861-123",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WI",
            "license": "1861-123",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WI",
            "license": "1861-123",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WI",
            "license": "1861-123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41003800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.