The Thresholds

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

04133 Issued in IL

Legal business name

THE THRESHOLDS

Practice address

6815 W Capitol Dr # 305
Milwaukee, WI 53216-2070

Phone

(773) 572-5147

NPI assigned

Aug 20, 2016

Organization subpart

No

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

Authorized official

Name

Mark Ishaug

Title

Ceo

Phone

(773) 572-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Thresholds Other name

Tax ID family

Thresholds West Suburbs122 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1932654845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 N RAVENSWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132193",
            "telephone_number": "773-572-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 W CAPITOL DR # 305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162070",
            "telephone_number": "773-572-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THRESHOLDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "ISHAUG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-572-5500"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "04133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04133",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thresholds",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.