Organization Active NPI

Dominion Behavioral Health Services

  • Community/Behavioral Health Agency
  • Menomonee Falls, WI
National Provider Identifier
1841471844
Registry record updated Nov 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2045-121 Issued in WI
Legal business name
DOMINION BEHAVIORAL HEALTH SERVICES
Practice address
W132N6303 Marach Rd
Menomonee Falls, WI 53051-6022
Phone
(262) 751-7507
Fax
(262) 252-7567
NPI assigned
Nov 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2007

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

Authorized official

Name
Mr. Francine C. Dixon, MSW, CAPSW
Title
Director/Psychotherapist
Phone
(262) 751-7507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2045-121 WI Primary

Addresses

Primary practice location

W132N6303 Marach Rd
Menomonee Falls, WI 53051-6022

Mailing address

W132N6303 Marach Rd
Menomonee Falls, WI 53051-6022
Phone (262) 751-7507

Other identifiers 1

IdentifierTypeStateIssuer
42248000MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1195344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195344000000",
    "number": "1841471844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W132N6303 MARACH RD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516022",
            "telephone_number": "262-751-7507",
            "fax_number": "262-252-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W132N6303 MARACH RD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516022",
            "telephone_number": "262-751-7507",
            "fax_number": "262-252-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-18",
        "last_updated": "2007-11-18",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DIRECTOR/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "262-751-7507",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, CAPSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2045-121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42248000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.