Active NPI
The Cambrige Group Inc.
Doing business as None
- Mental Illness Community Based Residential Treatment Facility
- Glen Dale, WV
National Provider Identifier
1972610541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 1404-057
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul Smerz, PH.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42176000 | Medicaid | WI |
Other names 1
- NONE
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Psychologist
- Glendale, WI
- NPI 1922168574
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
- Brittany Nichole Speed, DO
- Hany Maher Tadros, MD
- John J Templeton, M.D.
- Terry L Williams O D Inc (Glen Dale Vision Center)
- Christine Thames
- Elizabeth Tucker, PHARMD, BCPS
- United Hospital Center, Inc.
- Urgent Care, Inc - West Virginia (Urgent Care, Inc - West Virginia Glen Dale)
- Andrea Rochelle Varner, REGISTERED NURSE
- Chickajajur Vijay, M.D.
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.