I5 Consulting, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

I5 CONSULTING, LLC

Practice address

6100 N 42ND St
Milwaukee, WI 53209-3560

Phone

(414) 232-0077

NPI assigned

May 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. John Nathaniel Greene Jr., PH.D.NPI 1396309076

Title

Principal

Phone

(414) 232-0077

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Nathaniel Greene Jr., PH.D.

  • Psychologist
  • Milwaukee, WI
  • NPI 1396309076
  NPD (past) Authorized official

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1730744368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9484 N FAIRWAY DR",
            "city": "BAYSIDE",
            "state": "WI",
            "postal_code": "532171321",
            "telephone_number": "414-232-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 N 42ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532093560",
            "telephone_number": "414-232-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I5 CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "414-232-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I04292019001652",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.