Phyllis Terry Eisenberg II, BS RN, MEED

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1884-125 Issued in WI

Practice address

250 N Sunny Slope Rd
Suite 290
Brookfield, WI 53005-4809

Phone

(262) 754-9460

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1730236977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170911",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532178081",
            "telephone_number": "414-795-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N SUNNY SLOPE RD",
            "address_2": "SUITE 290",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054809",
            "telephone_number": "262-754-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "PHYLLIS",
        "middle_name": "TERRY",
        "name_suffix": "II",
        "credential": "BS RN, MEED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1884-125",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "WI",
            "license": "51189-030",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39790000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Callie Ehmcke, MS, CCC-SLP
• Sara Ehnert, PT
• Allison Ehrlich, PTA
• Laura Eichenold
• Charles Howard Eigen, L.P.C.
• Robin Elario
• Jacqueline Bodil Elger, FNP-BC, APNP
• Hind Mohamed Elhassan, MD
• Traci Elkin
• Ellen L. Gawrisch, M.D.

• Professional Counselor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Professional Counselor in Wisconsin

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