NPIMap

Organization Active NPI

Genesis Behavioral Services, Inc

  • Substance Abuse Rehabilitation Facility
  • Oshkosh, WI
National Provider Identifier
1861067951
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GENESIS BEHAVIORAL SERVICES, INC
Practice address
304 Otter Ave
Oshkosh, WI 54901-5011
Phone
(414) 939-7145
Fax
(414) 988-4896
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Karl Rajani
Title
Ceo
Phone
(149) 397-1454

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

304 Otter Ave
Oshkosh, WI 54901-5011

Mailing address

304 Otter Ave
Oshkosh, WI 54901-5011
Phone (414) 939-7145

National Provider Directory

National Provider Directory
Tax ID family
Genesis Behavioral Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

304 Otter Ave
Oshkosh, WI 54901
Phone (414) 939-7145

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1861067951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 OTTER AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549015011",
            "telephone_number": "414-939-7145",
            "fax_number": "414-988-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 OTTER AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549015011",
            "telephone_number": "414-939-7145",
            "fax_number": "414-988-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS BEHAVIORAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "RAJANI",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "149-397-1454"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.