Individual provider Active NPI

Mark J Hirschmann, LMFT PH D

  • Marriage & Family Therapist
  • Glendale, WI
National Provider Identifier
1992723498
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2 124 Issued in WI
Practice address
5900 N Port Washington Rd
Suite 230
Glendale, WI 53217-4503
Phone
(414) 962-4048
Fax
(414) 962-4052
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2 124 WI Primary

Addresses

Primary practice location

5900 N Port Washington Rd
Suite 230
Glendale, WI 53217-4503

Mailing address

5900 N Port Washington Rd
Suite 230
Glendale, WI 53217-4503
Phone (414) 962-4048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2 124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Psychology Associates, S.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992723498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 N PORT WASHINGTON RD",
            "address_2": "SUITE 230",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174503",
            "telephone_number": "414-962-4048",
            "fax_number": "414-962-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N PORT WASHINGTON RD",
            "address_2": "SUITE 230",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174503",
            "telephone_number": "414-962-4048",
            "fax_number": "414-962-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHMANN",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "LMFT PH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "2 124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.