Bernadette Mullins Miller LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BERNADETTE MULLINS MILLER LLC

Practice address

2600 N Mayfair Rd Ste 305
Wauwatosa, WI 53226-1303

Phone

(414) 378-0999

Fax

(414) 536-8605

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Bernadette Mullins-Miller, MSSW LCSWNPI 1083839609

Title

President

Phone

(414) 378-0999

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Bernadette Mullins-Miller, LCSW

  • Clinical Social Worker
  • Wauwatosa, WI
  • NPI 1083839609
  NPD (past) Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1902021512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD STE 305",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261303",
            "telephone_number": "414-378-0999",
            "fax_number": "414-536-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD STE 305",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261303",
            "telephone_number": "414-378-0999",
            "fax_number": "414-536-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNADETTE MULLINS MILLER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "MULLINS-MILLER",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-378-0999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSSW LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39223700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA ID NUMBER",
            "identifier": "SUFFIX B",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Rose Bennetts, CPNP-AC
• Ellen Bentz
• Samantha Benz
• Hannah Berger
• Mallorie A Bergstrom, PA-C
• Reivian Berrios Barillas, PT
• Caitlin MK Berry, NP
• Jodi Lynn Bertschinger, APSW
• Adam Beth
• Zachary Beth, DPM

• Mental Health Clinic/Center (Including Community Mental Health Center) in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.