MILWAUKEE CENTER FOR INDEPENDENCE (NPI# 1033302229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033302229 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE CENTER FOR INDEPENDENCE |
| Other Organization Name | WHOLE HEALTH CLINICAL GROUP |
| Practice Address |
1040 S 70th St Milwaukee WI 53214-3174 |
| Practice Telephone | 4144769675 |
| Practice Fax Number | 4146150627 |
| Mailing Telephone | 4144769675 |
| Mailing Fax Number | 4146150627 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2016-05-02 |
| Authorized Official Name | HOWARD GARBER (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4149372020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2125 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43426400 | 05 |
| Other Name | Type Code |
|---|---|
| WHOLE HEALTH CLINICAL GROUP | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720431877 | Milwaukee Center for Independence | Clinic/Center | 6100 N Baker Rd, Glendale, WI 53209-3704 | 2016-07-13 |
| 1306299466 | Milwaukee Center for Independence | Clinic/Center | 3333 S Howell Ave, Milwaukee, WI 53207-2743 | 2016-07-13 |
| 1326223850 | Milwaukee Center for Independence | Case Management | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2008-01-03 |
| 1245376748 | Milwaukee Center for Independence | Clinic/Center | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2007-01-30 |
| 1972649473 | Milwaukee Center for Independence | Clinic/Center | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2007-01-30 |
| 1881730380 | Milwaukee Center for Independence | Clinic/Center | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2007-01-30 |
| 1225174725 | Milwaukee Center for Independence | Registered Nurse | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2007-01-30 |
| 1134265630 | Milwaukee Center for Independence | Clinic/Center | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2007-01-30 |
| 1043356546 | Milwaukee Center for Independence | Clinic/Center | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2007-01-30 |
| Street Address |
1040 S 70TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53214-3174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750326518 | Milwaukee Center for Independence Inc | Psychologist | 1040 S 70th St, Milwaukee, WI 53214-3164 | 2006-06-17 |
| 1265868582 | Kristin M Haywood | Social Worker | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2013-09-18 |
| 1851734743 | John Barsley Pike | Pharmacist | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2013-04-10 |
| 1851638365 | Luz Maria Franklin | Counselor | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2013-01-04 |
| 1285987263 | Michelle Marie Maltar | Pharmacist | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2012-10-16 |
| 1114225455 | Ruth M Bazelak | Pharmacist | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2011-03-10 |
| 1144528696 | Walter George Schimming Jr. | Pharmacist | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2011-03-08 |
| 1356570501 | Transitional Living Services, Inc | Community Based Residential Treatment Facility, Mental Illness | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2009-07-09 |
| 1457597932 | Geraldine Rebecca Pikalek | Counselor | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2009-01-05 |
| 1851573836 | Transitional Living Services, Inc | Case Management | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2007-11-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
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| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968990 | Zoran Jovicic | Community/Behavioral Health | 3239 S 58th St Unit 104, Milwaukee, WI 53219-4365 | 2020-10-08 |
| 1548816580 | Latara Williams | Community/Behavioral Health | 2447 N 50th St, Milwaukee, WI 53210-2815 | 2019-08-15 |
| 1942856091 | Kennedy's Circle of Wellness LLC | Community/Behavioral Health | 3614 W North Ave, Milwaukee, WI 53208-1416 | 2019-08-14 |
| 1205391828 | Jerome Pitchford | Community/Behavioral Health | 1220 W Atkinson Ave, Milwaukee, WI 53206-3024 | 2019-02-07 |
| 1194233718 | The Evolving Chair Counseling and Consulting Agency | Community/Behavioral Health | 3100 N 78th St, Milwaukee, WI 53222-3916 | 2018-01-17 |
| 1316453905 | D.a.a.n.i Professional Counseling Service LLC | Community/Behavioral Health | 2943 N 52nd St, Milwaukee, WI 53210-1610 | 2017-12-19 |
| 1932654845 | The Thresholds | Community/Behavioral Health | 6815 W Capitol Dr # 305, Milwaukee, WI 53216-2070 | 2016-08-20 |
| 1801341144 | Fly Philanthropy Inc | Community/Behavioral Health | 3352 N Palmer St, Milwaukee, WI 53212-1541 | 2016-08-16 |
| 1659726545 | Pathway Youth & Famiy Services | Community/Behavioral Health | 3879 N Port Washington Rd, Milwaukee, WI 53212-1180 | 2016-04-27 |
| 1528413671 | Adventures In Play, LLC | Community/Behavioral Health | 2118 E Kenilworth Pl, Lowr, Milwaukee, WI 53202-1327 | 2016-04-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.