| Waukesha County (csp) | |
|
1501 Airport Rd Waukesha WI 53188-3632 | |
| (262) 548-7950 | |
| (262) 970-4791 |
| Full Name | Waukesha County (csp) |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1501 Airport Rd, Waukesha, Wisconsin |
| Authorized Official Name and Position | David M Derosier (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2628968431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waukesha County (csp) 514 Riverview Ave Attn: Fiscal Department Waukesha WI 53188-3632 Ph: (262) 548-7399 | Waukesha County (csp) 1501 Airport Rd Waukesha WI 53188-3632 Ph: (262) 548-7950 |
| NPI Number | 1780716175 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780716175 | NPI | - | NPPES |
| 43422400 | Other | WI | MA PROVIDER NUMBER |
| 43422400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 43422400 (Wisconsin) | Primary |
Allied Counseling Services, S.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2717 N Grandview Blvd Ste 202, Waukesha, WI 53188 Phone: 262-751-5672 Fax: 855-702-2180 | |
Catholic Charities Of The Archdiocese Of Milwaukee Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 N East Ave, Waukesha, WI 53186 Phone: 262-547-2463 Fax: 262-547-8002 | |
Summit Medical Specialists, Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2717 N Grandview Blvd Ste 202, Waukesha, WI 53188 Phone: 262-513-0700 Fax: 262-513-0707 | |
Waukesha County (ccs) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Airport Rd, Waukesha, WI 53188 Phone: 262-548-7950 Fax: 262-970-4791 | |
Children's Service Society Of Wisconsin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Wisconsin Ave, Suite D, Waukesha, WI 53186 Phone: 262-544-5333 Fax: 262-544-5393 | |
La Casa De Esperanza Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Nw Barstow St, Suite 110, Waukesha, WI 53188 Phone: 262-928-4402 Fax: 262-928-7340 | |
Wisconsin Lutheran Child & Family Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E College Ave, Waukesha, WI 53186 Phone: 800-438-1772 Fax: 262-345-5562 |