| Catholic Charities Of The Archdiocese Of Milwaukee Inc | |
|
2021 N 60th St Milwaukee WI 53208-1641 | |
| (414) 771-2881 | |
| (414) 771-6095 |
| Full Name | Catholic Charities Of The Archdiocese Of Milwaukee Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2021 N 60th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Julie A Bush (BILLING MANAGER) |
| Authorized Official Contact | 2626378888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Of The Archdiocese Of Milwaukee Inc 2021 N 60th St Milwaukee WI 53208-1641 Ph: (414) 771-2881 | Catholic Charities Of The Archdiocese Of Milwaukee Inc 2021 N 60th St Milwaukee WI 53208-1641 Ph: (414) 771-2881 |
| NPI Number | 1285617670 |
|---|---|
| Provider Enumeration Date | 11/21/2005 |
| Last Update Date | 05/10/2021 |
| Certification Date | 05/10/2021 |
| Medicare PECOS PAC ID | 5496745242 |
|---|---|
| Medicare Enrollment ID | O20040514000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285617670 | NPI | - | NPPES |
| 42162300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1132 (Wisconsin) | Primary |
| Provider Name | James M Pankratz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609859495 PECOS PAC ID: 0446432041 Enrollment ID: I20110302000932 |
| Provider Name | Susan K Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093798498 PECOS PAC ID: 7517149198 Enrollment ID: I20110303000784 |
| Provider Name | Geoffrey K Malone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699293563 PECOS PAC ID: 5799193264 Enrollment ID: I20210421002842 |
| Provider Name | Taylor A Bufton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619586997 PECOS PAC ID: 3072985647 Enrollment ID: I20230207003276 |
| Provider Name | Deborah Vanderkinter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528690427 PECOS PAC ID: 4082050331 Enrollment ID: I20240309000636 |
| Provider Name | Guisselle Lizano Castillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548561236 PECOS PAC ID: 6103269261 Enrollment ID: I20240311002106 |
| Provider Name | Catherine A Gallagher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437413259 PECOS PAC ID: 3476996315 Enrollment ID: I20240315000436 |
Affirmative Reaction Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6001 W Center St Ste 201, Milwaukee, WI 53210 Phone: 414-324-5318 | |
Stepping Stone Behavorial Health Clinic, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7441 W Greenfield Ave, Suite 15, Milwaukee, WI 53214 Phone: 262-951-6969 | |
River's Shore Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3707 N Richards St, Milwaukee, WI 53212 Phone: 414-967-7006 Fax: 414-967-7020 | |
Sj Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7726 N 80th St, Milwaukee, WI 53223 Phone: 414-841-5648 | |
Westcare Wisconsin, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 W Wright St, Milwaukee, WI 53212 Phone: 414-323-0185 | |
New Frontiers Psychiatric Sc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2675 N Mayfair Rd Ste 400, Milwaukee, WI 53226 Phone: 414-763-6910 Fax: 414-763-6911 | |
Findley Medical Clinic Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6114 W Capitol Dr Ste 101, Milwaukee, WI 53216 Phone: 414-988-3079 Fax: 414-982-1211 |