Organization Active NPI

Sami Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elm Grove, WI
National Provider Identifier
1942645510
Registry record updated Jun 8, 2026
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
SAMI HEALTH SERVICES, LLC
Practice address
910 Elm Grove Rd Ste 11B
Elm Grove, WI 53122-2531
Phone
(262) 780-1001
Fax
(262) 780-1002
NPI assigned
May 8, 2013
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Theresa Joan Zakutansky, MSWNPI 1205993482
Title
Practice Manager
Phone
(262) 780-1001

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 NU Primary

Addresses

Primary practice location

910 Elm Grove Rd Ste 11B
Elm Grove, WI 53122-2531

Mailing address

910 Elm Grove Rd Ste 11B
Elm Grove, WI 53122-2531
Phone (262) 780-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130624000416 WI Part B Supplier - Clinic/Group Practice 0143469114 Receives reassigned benefits from 2 practitioners
Practice locations: Elm Grove, WI

National Provider Directory

National Provider Directory

Locations

910 Elm Grove Rd
Ste 11B
Elm Grove, WI 53122
Phone (262) 780-1001

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1942645510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ELM GROVE RD STE 11B",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222531",
            "telephone_number": "262-780-1001",
            "fax_number": "262-780-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ELM GROVE RD STE 11B",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222531",
            "telephone_number": "262-780-1001",
            "fax_number": "262-780-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMI HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "ZAKUTANSKY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "262-780-1001",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elm Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.

Verify at the official NPI Registry.