Active NPI
Charles M Grade, MD
- Psychiatry Physician
- Wauwatosa, WI
National Provider Identifier
1790890796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 32662
- Practice address
- 7845 Harwood Ave
Wauwatosa, WI 53213-2523 - Phone
- (414) 270-1011
- Fax
- (414) 270-1031
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 32662 | WI | Primary |
Addresses
Primary practice location
7845 Harwood Ave
Wauwatosa, WI 53213-2523
Mailing address
7845 Harwood Ave
Wauwatosa, WI 53213-2523
Phone (414) 270-1011
Other practice location 1
2020 W Wells St
Milwaukee, WI 53233-2720
Phone (414) 476-9675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31874500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Wisconsin School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7845 Harwood Ave
Wauwatosa, WI 53213-2523
Phone (414) 270-1011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32662 | WI | MD | Psychiatry Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Wauwatosa, WI
- NPI 1922267483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1790890796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7845 HARWOOD AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532132523",
"telephone_number": "414-270-1011",
"fax_number": "414-270-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7845 HARWOOD AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532132523",
"telephone_number": "414-270-1011",
"fax_number": "414-270-1031"
}
],
"practiceLocations": [
{
"address_1": "2020 W Wells St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532332720",
"country_code": "US",
"telephone_number": "414-476-9675",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRADE",
"first_name": "CHARLES",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "32662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31874500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.