Organization Active NPI

The Cambrige Group Inc.

Doing business as None

  • Mental Illness Community Based Residential Treatment Facility
  • Glen Dale, WV
National Provider Identifier
1972610541
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
1404-057 Issued in WI
Legal business name
THE CAMBRIGE GROUP INC.
Doing business as
None
Practice address
6110 N. Port Washington Road
Glendale, WV 53217
Phone
(414) 332-7400
Fax
(414) 963-6866
NPI assigned
Aug 23, 2006
Last updated
Dec 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Dr. Paul Smerz, PH.D.NPI 1922168574
Title
Clinical Psychologist
Phone
(414) 332-7400

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 Illness Community Based Residential Treatment Facility 320800000X 1404-057 WI Primary

Addresses

Primary practice location

6110 N. Port Washington Road
Glendale, WV 53217

Mailing address

6110 N Port Washington Rd
Glendale, WI 53217-4308
Phone (414) 332-7400

Other identifiers 1

IdentifierTypeStateIssuer
42176000MedicaidWI

Other names 1

  • NONE Doing business as

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, 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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1972610541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 N PORT WASHINGTON RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174308",
            "telephone_number": "414-332-7400",
            "fax_number": "414-963-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 N. PORT WASHINGTON ROAD",
            "city": "GLENDALE",
            "state": "WV",
            "postal_code": "53217",
            "telephone_number": "414-332-7400",
            "fax_number": "414-963-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CAMBRIGE GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "SMERZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "414-332-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "WI",
            "license": "1404-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42176000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Dale, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.