Organization Active NPI

Shara Grover MD LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mukwonago, WI
National Provider Identifier
1942660170
Registry record updated Mar 1, 2016
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
SHARA GROVER MD LLC
Practice address
305 Eagle Lake Ave
Mukwonago, WI 53149-1163
Phone
(262) 363-5719
Fax
(262) 363-9763
NPI assigned
Mar 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Dr. Shara Grover, M.D.
Title
President
Phone
(312) 498-0701

Specialties & licenses 1

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

Addresses

Primary practice location

305 Eagle Lake Ave
Mukwonago, WI 53149-1163

Mailing address

305 Eagle Lake Ave
Mukwonago, WI 53149-1163
Phone (262) 363-5719

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1942660170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 EAGLE LAKE AVE",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491163",
            "telephone_number": "262-363-5719",
            "fax_number": "262-363-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 EAGLE LAKE AVE",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491163",
            "telephone_number": "262-363-5719",
            "fax_number": "262-363-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARA GROVER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "SHARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-498-0701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukwonago, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.