NPIMap

Organization Active NPI

Broadstep-Wisconsin, Inc.

  • Case Management Agency
  • West Allis, WI
National Provider Identifier
1972708832
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
1093 Issued in WI
Legal business name
BROADSTEP-WISCONSIN, INC.
Practice address
1205 S 70TH St Ste 101
West Allis, WI 53214-3167
Phone
(414) 871-6122
Fax
(414) 871-2522
NPI assigned
Jun 19, 2007
Last updated
Jun 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Julianne Yopps
Title
Executive Assistant
Phone
(414) 930-4421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1093 WI Primary

Addresses

Primary practice location

1205 S 70TH St Ste 101
West Allis, WI 53214-3167

Mailing address

1205 S 70TH St Ste 101
West Allis, WI 53214-3167
Phone (414) 871-6122

Other identifiers 2

IdentifierTypeStateIssuer
1093OtherWISTATE CERTIFICATE-LICENSE
43422300MedicaidWI

Other names 1

  • CSP North Other name

National Provider Directory

National Provider Directory
Tax ID family
Belwood Ltdbell Therapy Mental Health Outpatient Clinic58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

4929 W Fond du Lac Ave
Milwaukee, WI 53216
Phone (414) 871-6122

1205 S 70th St
Ste 101
West Allis, WI 53214
Phone (414) 871-6122

Practitioners & affiliated clinicians

Practitioners 85

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.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1972708832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 S 70TH ST STE 101",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143167",
            "telephone_number": "414-871-6122",
            "fax_number": "414-871-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S 70TH ST STE 101",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143167",
            "telephone_number": "414-871-6122",
            "fax_number": "414-871-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADSTEP-WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2021-06-16",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "YOPPS",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "414-930-4421"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": "1093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CERTIFICATE-LICENSE",
            "identifier": "1093",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43422300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSP North",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CSP North",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.