NPIMap

Organization Active NPI

Children'S Hospital of Wisconsin

  • Children's Hospital
  • Milwaukee, WI
National Provider Identifier
1992810667
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
2530057 Issued in WI
Legal business name
CHILDREN'S HOSPITAL OF WISCONSIN
Practice address
9000 W Wisconsin Ave MSC 750
Milwaukee, WI 53226-3518
Phone
(414) 266-2932
Fax
(414) 266-3735
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Beth C Long, PSYD
Title
Pediatric Psychologist
Phone
(414) 266-3047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X 2530057 WI Primary

Addresses

Primary practice location

9000 W Wisconsin Ave MSC 750
Milwaukee, WI 53226-3518

Mailing address

9000 W Wisconsin Ave MSC 750
PO Box 1997
Milwaukee, WI 53226-3518
Phone (414) 266-2932

Other identifiers 1

IdentifierTypeStateIssuer
40962400MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Children'S Hospital of Wisconsin Inc-Fox Valley22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

9000 W Wisconsin Ave
#750
Milwaukee, WI 53226
Phone (262) 786-3492

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992810667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE MSC 750",
            "address_2": "PO BOX 1997",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263518",
            "telephone_number": "414-266-2932",
            "fax_number": "414-266-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE MSC 750",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263518",
            "telephone_number": "414-266-2932",
            "fax_number": "414-266-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL OF WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PEDIATRIC PSYCHOLOGIST",
        "authorized_official_telephone_number": "414-266-3047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "WI",
            "license": "2530057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40962400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.