NPIMap

Organization Active NPI

Washington County Mental Health Center

  • Community/Behavioral Health Agency
  • West Bend, WI
National Provider Identifier
1710134291
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2303 Issued in WI
Legal business name
WASHINGTON COUNTY MENTAL HEALTH CENTER
Practice address
333 E Washington St
Suite 2100
West Bend, WI 53095-2585
Phone
(262) 335-4545
Fax
(262) 335-6827
NPI assigned
Aug 26, 2008
Last updated
Aug 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Jim Strachota
Title
Director
Phone
(262) 335-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2303 WI Primary

Addresses

Primary practice location

333 E Washington St
Suite 2100
West Bend, WI 53095-2585

Mailing address

333 E Washington St
Suite 2100
West Bend, WI 53095-2585
Phone (262) 335-4545

Other identifiers 1

IdentifierTypeStateIssuer
43422500MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Washington Co Dept of Social Services11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1710134291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E WASHINGTON ST",
            "address_2": "SUITE 2100",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952585",
            "telephone_number": "262-335-4545",
            "fax_number": "262-335-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E WASHINGTON ST",
            "address_2": "SUITE 2100",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952585",
            "telephone_number": "262-335-4545",
            "fax_number": "262-335-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "STRACHOTA",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "262-335-4545"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43422500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.