Milwaukee Psychiatric Physicians Chartered

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED

Practice address

12760 W North Ave BLDG a
Brookfield, WI 53005-4628

Phone

(262) 439-5500

Fax

(866) 439-5221

NPI assigned

Nov 21, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jackie Michels

Title

Practice Manager

Phone

(262) 439-5500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David L Wandschneider, PHD

  • Psychologist
  • Brookfield, WI
  • NPI 1548377591
  Medicare reassignment Care Compare group NPD
• Makenzie Elizabeth Hatfield Kresch, MD

  • Geriatric Psychiatry Physician
  • Waukesha, WI
  • NPI 1043714009
  Medicare reassignment Care Compare group
• Sally Lohs, M.D.

  • Child & Adolescent Psychiatry Physician
  • Brookfield, WI
  • NPI 1396139671
  Medicare reassignment Care Compare group
• Marina Clarice Tierney, PSY.D.

  • Psychologist
  • Brookfield, WI
  • NPI 1396858825
  Medicare reassignment Care Compare group
• Patrick J Triggiano, PHD

  • Psychologist
  • Brookfield, WI
  • NPI 1194880286
  Medicare reassignment Care Compare group
• Eric Kanter

  • Child & Adolescent Psychiatry Physician
  • Brookfield, WI
  • NPI 1619062536
  NPD
• Marie Grace Ferber, MD

  • Psychiatry Physician
  • Brookfield, WI
  • NPI 1235234709
  NPD (past)
• Tracey E Latza, PSY.D.

  • Psychologist
  • Brookfield, WI
  • NPI 1760599211
  NPD (past)
• John P Mullooly II, MD

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1649356254
  NPD (past)
• Gary K Schnell, MD

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1093700288
  NPD (past)
• Upton Thomas, M.D.

  • Psychiatry Physician
  • Wauwatosa, WI
  • NPI 1013947696
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1588739155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12760 W NORTH AVE, BLDG A",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53005",
            "telephone_number": "262-439-5500",
            "fax_number": "866-439-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 W NORTH AVE BLDG A",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054628",
            "telephone_number": "262-439-5500",
            "fax_number": "866-439-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "MICHELS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "262-439-5500"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milwaukee Clinic of Ortho Surgery LTD (Milwaukee Clinic of Orthopedic Surgery)
• Milwaukee Eye Care Associates S.C.
• Milwaukee Eye Care Associates S.C.
• Milwaukee Eye Surgeons SC
• Milwaukee Nephrology Care Inc
• Natasha Marie Ming, RDH
• Kristina Marie Mingus, NP
• Susan C Minikel, MD
• Vanessa Minor, MS, LPC, CSAC
• Ellis E Miscavage

• Psychiatry Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.