New Vintage Church, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NEW VINTAGE CHURCH, INC.

Practice address

6626 W Beloit Rd
West Allis, WI 53219-2009

Phone

(414) 400-8320

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Kevin Paul Bartelme

Title

Senior Pastor/Counselor

Phone

(414) 400-8320

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1730898362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 W BELOIT RD",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532192009",
            "telephone_number": "414-400-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6626 W BELOIT RD",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532192009",
            "telephone_number": "414-400-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VINTAGE CHURCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "BARTELME",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "SENIOR PASTOR/COUNSELOR",
        "authorized_official_telephone_number": "414-400-8320"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Jean Nemeth, COTA
• Margaret Ann Neuman, P.T.A.
• Stacy Neumann, OT
• Neurology Alliance S.C.
• New Beginnings Mental Health Clinic LLC.
• Megan Melissa Newton
• Cuong Nguyen
• William Nicholson, MD
• Kimberly Niebler
• Emily M Nieman, CRNA

• Adult Mental Health Clinic/Center in West Allis, WI
• Providers in West Allis, WI by specialty
• Adult Mental Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.