Active NPI
Mental Health America of Wisconsin
- Case Management Agency
- Milwaukee, WI
National Provider Identifier
1881098028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- MENTAL HEALTH AMERICA OF WISCONSIN
- Practice address
- 600 W Virginia St
Suite 502
Milwaukee, WI 53204-1500 - Phone
- (414) 336-7963
- Fax
- (414) 276-3124
- NPI assigned
- Oct 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martina C Gollin
- Title
- President/Ceo
- Phone
- (414) 336-7963
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
600 W Virginia St
Suite 502
Milwaukee, WI 53204-1500
Mailing address
600 W Virginia St
Suite 502
Milwaukee, WI 53204-1500
Phone (414) 336-7963
National Provider Directory
National Provider DirectoryLocations
600 W Virginia St
Ste 502
Milwaukee, WI 53204
Phone (414) 336-7963
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Franklin, WI
- NPI 1902221161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413504000000",
"number": "1881098028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W VIRGINIA ST",
"address_2": "SUITE 502",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532041500",
"telephone_number": "414-336-7963",
"fax_number": "414-276-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W VIRGINIA ST",
"address_2": "SUITE 502",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532041500",
"telephone_number": "414-336-7963",
"fax_number": "414-276-3124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL HEALTH AMERICA OF WISCONSIN",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-17",
"last_updated": "2014-10-17",
"status": "A",
"authorized_official_last_name": "GOLLIN",
"authorized_official_first_name": "MARTINA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "414-336-7963"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.