Project Access, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PROJECT ACCESS, INC

Practice address

809 S 60TH St
Suite 201
Milwaukee, WI 53214-3363

Phone

(414) 456-1155

Fax

(414) 456-1655

NPI assigned

Nov 9, 2007

Last updated

Nov 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. G. Roger Zhong, PSY.D.

Title

President

Phone

(414) 456-1155

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1962682641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S 60TH ST",
            "address_2": "SUITE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532143363",
            "telephone_number": "414-456-1155",
            "fax_number": "414-456-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S 60TH ST",
            "address_2": "SUITE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532143363",
            "telephone_number": "414-456-1155",
            "fax_number": "414-456-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT ACCESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "ZHONG",
        "authorized_official_first_name": "G. ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-456-1155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43427900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.