NPIMap

Organization Active NPI

Gals Institute, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Delafield, WI
National Provider Identifier
1912374190
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GALS INSTITUTE, LLC
Practice address
383 Williamstowne
Suite 101
Delafield, WI 53018
Phone
(262) 337-9770
Fax
(262) 337-9771
NPI assigned
Aug 24, 2015
Last updated
Jan 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Authorized official

Name
Deanna Lynn Marincic, MSW LCSWNPI 1376612085
Title
Owner, Clinician
Phone
(262) 434-0540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X WI Primary

Addresses

Primary practice location

383 Williamstowne
Suite 101
Delafield, WI 53018

Mailing address

383 Williamstowne
Suite 101
Delafield, WI 53018
Phone (262) 337-9770

Other identifiers 1

IdentifierTypeStateIssuer
100011457MedicaidWI

Other names 1

  • Gals Worshops Other name

National Provider Directory

National Provider Directory

Locations

383 Williamstowne
Ste 101
Delafield, WI 53018
Phone (262) 337-0770

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1912374190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 WILLIAMSTOWNE",
            "address_2": "SUITE 101",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "53018",
            "telephone_number": "262-337-9770",
            "fax_number": "262-337-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 WILLIAMSTOWNE",
            "address_2": "SUITE 101",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "53018",
            "telephone_number": "262-337-9770",
            "fax_number": "262-337-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALS INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "MARINCIC",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER, CLINICIAN",
        "authorized_official_telephone_number": "262-434-0540",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100011457",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gals Worshops",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Delafield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.