Organization Active NPI

Aja Child & Adolescent Day Treatment

  • Community/Behavioral Health Agency
  • Milwaukee, WI
National Provider Identifier
1790972461
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1205 Issued in WI
Legal business name
AJA CHILD & ADOLESCENT DAY TREATMENT
Practice address
8726 W Mill Rd
Milwaukee, WI 53225-1838
Phone
(414) 353-9250
Fax
(414) 353-2095
NPI assigned
Sep 26, 2007
Organization subpart
Yes
Parent organization
AJA ENTERPRISES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Ms. Areatha Miller, M.S.
Title
Director
Phone
(414) 353-9250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1205 WI Primary

Addresses

Primary practice location

8726 W Mill Rd
Milwaukee, WI 53225-1838

Mailing address

8726 W Mill Rd
Milwaukee, WI 53225-1838
Phone (414) 353-9250

Other identifiers 1

IdentifierTypeStateIssuer
43008300MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Aja Child Adolescent Day Treatment2 organizations share this tax ID, including this one
Part of
Aja Child Adolescent Day Treatment

Other organizations with this tax ID 1

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": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1790972461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8726 W MILL RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532251838",
            "telephone_number": "414-353-9250",
            "fax_number": "414-353-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8726 W MILL RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532251838",
            "telephone_number": "414-353-9250",
            "fax_number": "414-353-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJA CHILD & ADOLESCENT DAY TREATMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AJA ENTERPRISES, LLC",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "AREATHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-353-9250",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43008300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.