Nspa
LBN: North Shore Psychotherapy Associates Iv
Nspa is an health care organization with primary practice located at 5555 N Port Washington Rd Ste 300 , Glendale WI 53217-4928. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
North Shore Psychotherapy Associates Iv can be contacted via phone (414) 962-6764, or through Dolezal, Sheryl via phone (414) 962-6764.
Contact Information
Primary practice address
5555 N Port Washington Rd Ste 300
Glendale WI 53217-4928
Phone: (414) 962-6764
Fax: (414) 962-6765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1194809574 |
|---|---|
| LBN Legal business name | North Shore Psychotherapy Associates Iv |
| DBA Doing business as | Nspa |
| Authorized official | Dolezal, Sheryl PSYD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | May 8th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194809574 | NPPES |
| Wisconsin | MEDICAID | 100047128 | |
| Wisconsin | Other | K100345509 |
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