NPIMap

Organization Active NPI

Aurora Psychiatric Hospital, Inc.

  • Psychiatric Hospital
  • Wauwatosa, WI
National Provider Identifier
1881627438
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
AURORA PSYCHIATRIC HOSPITAL, INC.
Practice address
1220 Dewey Ave
Wauwatosa, WI 53213
Phone
(414) 454-6600
NPI assigned
Jul 8, 2006
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Kara Richardson
Title
VP Managed Health
Phone
(704) 631-0450

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X WI
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X WI
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Psychiatric Hospital 283Q00000X Primary
Psychiatry Physician 2084P0800X

Addresses

Primary practice location

1220 Dewey Ave
Wauwatosa, WI 53213

Mailing address

1220 Dewey Ave
Wauwatosa, WI 53213-2504
Phone (414) 454-6600

Other identifiers 4

IdentifierTypeStateIssuer
100068881MedicaidWI
42238300MedicaidWI
10062800MedicaidWI
43007900MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031215000930 WI Part B Supplier - Clinic/Group Practice 5799682076 Receives reassigned benefits from 16 practitioners
1 other NPI on this enrollment
Practice locations: Wauwatosa, WI
O20110517000258 WI Part A Provider - Hospital 5799682076 Practice locations: Wauwatosa, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881627438. Details of each certification follow.

Hospital certification: CCN 524000

Legal name
AURORA PSYCHIATRIC HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 1, 1966
Last certification
Nov 30, 2006
Beds
105
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1220 Dewey Ave
Wauwatosa, WI 53213-2504
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Aurora Psychiatric HospitalCCN 524000 · All quality measures
Type
Psychiatric
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6980 N Port Washington Rd
Ste 201
Glendale, WI 53217
Phone (414) 351-7100

6015 Durand Ave
Mount Pleasant, WI 53406
Phone (262) 554-0429

6015 Durand Ave
Ste 400
Mount Pleasant, WI 53406
Phone (262) 554-0205

S74W16775 Janesville Rd
Ste B
Muskego, WI 53150

14555 W National Ave
Ste 193
New Berlin, WI 53151
Phone (262) 796-8426

W231N1440 Corporate Ct
#310
Waukesha, WI 53186
Phone (262) 896-6000

1220 Dewey Ave
Bldg 2
Wauwatosa, WI 53213
Phone (414) 454-6500

8901 W Lincoln Ave
Ste 413
West Allis, WI 53227
Phone (414) 329-5655

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Aurora Health Care, Inc. Organization, Milwaukee, WI Non-profit 5% Or Greater Indirect Ownership Interest Feb 9, 1993 100%
Operational/Managerial Control Feb 1, 1993
Gabrielle Finley-Hazle Individual Corporate OfficerVice President Dec 15, 2023
Corporate DirectorBoard Member Dec 15, 2023
Tori Munnik Individual W-2 Managing EmployeeDirector Managed Health Oct 1, 2024
Jessica Small Individual Corporate OfficerPresident Apr 1, 2023
W-2 Managing EmployeePresident Apr 1, 2023
Rachelle Hart Individual Corporate OfficerSecretary Jun 6, 2023
Kara Richardson Individual Corporate OfficerAssistant Treasurer Oct 1, 2024
Lindsay Durgin Individual Corporate OfficerTreasurer Jul 1, 2025
Rachel Halverson Individual Corporate OfficerAssistant Treasurer Jun 6, 2023
Desiree Millet Individual W-2 Managing EmployeeManager Managed Health Oct 1, 2024
Advocate Health Inc Organization, Charlotte, NC Corporation, Non-profit Operational/Managerial Control Dec 2, 2022
Advocate Aurora Health, Inc. Organization, Milwaukee, WI Created for acquisition, Corporation, Holding company, Non-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Operational/Managerial Control Apr 1, 2018 100%
Aurora Health Care Metro, Inc. Organization, Milwaukee, WI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 17, 2010 100%
Operational/Managerial Control Jun 17, 2010 100%

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 92

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 92

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1881627438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 DEWEY AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132504",
            "telephone_number": "414-454-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 DEWEY AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "53213",
            "telephone_number": "414-454-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PSYCHIATRIC HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "VP MANAGED HEALTH",
        "authorized_official_telephone_number": "704-631-0450"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100068881",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42238300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10062800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43007900",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd STE B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.