NPIMap

Organization Active NPI

Kids in Transition

  • Community/Behavioral Health Agency
  • Milwaukee, WI
National Provider Identifier
1639317167
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
11828134 Issued in WI
Legal business name
KIDS IN TRANSITION
Practice address
6314 N 104TH St
Milwaukee, WI 53225-1408
Phone
(414) 688-3062
Fax
(414) 277-8916
NPI assigned
Jan 21, 2009
Last updated
Jan 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Mr. Cleon Edward Suggs, C.S.A.C.,I.C.S.NPI 1528491867
Title
Clinical Supervisor
Phone
(414) 688-3062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 10600132 WI
Community/Behavioral Health Agency 251S00000X 11828134 WI Primary

Addresses

Primary practice location

6314 N 104TH St
Milwaukee, WI 53225-1408

Mailing address

6314 N 104TH St
Milwaukee, WI 53225-1408
Phone (414) 688-3062

Other identifiers 1

IdentifierTypeStateIssuer
39387800MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Kids in Transition2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1639317167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 N 104TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532251408",
            "telephone_number": "414-688-3062",
            "fax_number": "414-277-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 N 104TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532251408",
            "telephone_number": "414-688-3062",
            "fax_number": "414-277-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS IN TRANSITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "SUGGS",
        "authorized_official_first_name": "CLEON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "414-688-3062",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.S.A.C.,I.C.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "10600132",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "11828134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39387800",
            "state": "WI"
        }
    ],
    "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 Jan 21, 2009; 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.