Active NPI
M.a.B Health Services LLC
- Health Service Clinic/Center
- Milwaukee, WI
National Provider Identifier
1932503240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- M.A.B HEALTH SERVICES LLC
- Practice address
- 8500 W Capitol Dr
Suite 201
Milwaukee, WI 53222-1869 - Phone
- (414) 856-5577
- NPI assigned
- Oct 15, 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
- Dr. Anthony Louis Hale, DNP, FNP-BC
- Title
- Owner
- Phone
- (414) 915-2153
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
8500 W Capitol Dr
Suite 201
Milwaukee, WI 53222-1869
Mailing address
1870 Norhardt Dr Unit D
Brookfield, WI 53045-5094
Phone (414) 915-2153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Milwaukee, WI
- NPI 1780951996
-
- Mental Health Counselor
- Milwaukee, WI
- NPI 1629440409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416268800000",
"number": "1932503240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 NORHARDT DR UNIT D",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530455094",
"telephone_number": "414-915-2153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 W CAPITOL DR",
"address_2": "SUITE 201",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532221869",
"telephone_number": "414-856-5577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M.A.B HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-15",
"last_updated": "2014-11-18",
"status": "A",
"authorized_official_last_name": "HALE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-915-2153",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, FNP-BC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"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 Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.