NPIMap

Organization Active NPI

Riverwalk Psychotherapy Associates, LLC

  • Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1598178170
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RIVERWALK PSYCHOTHERAPY ASSOCIATES, LLC
Practice address
1110 N Old World 3Rd St
Suite 401
Milwaukee, WI 53203-1100
Phone
(414) 224-0800
NPI assigned
Jun 11, 2014
Last updated
Jun 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Serena ClardieNPI 1891704854
Title
Partner
Phone
(414) 224-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1110 N Old World 3Rd St
Suite 401
Milwaukee, WI 53203-1100

Mailing address

1110 N Old World 3Rd St
Suite 401
Milwaukee, WI 53203-1100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1598178170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N OLD WORLD 3RD ST",
            "address_2": "SUITE 401",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N OLD WORLD 3RD ST",
            "address_2": "SUITE 401",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031100",
            "telephone_number": "414-224-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWALK PSYCHOTHERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "CLARDIE",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "414-224-0800"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 11, 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.