Kenosha Mental Health Walk-In Clinic

LBN: Children'S Medical Group, Inc.
Kenosha Mental Health Walk-In Clinic is an health care organization with primary practice located at 6809 122Nd Ave , Kenosha WI 53142-7335. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Children'S Medical Group, Inc. can be contacted via phone (262) 891-6575, or through Reuteman, Sheila via phone (414) 266-7615.

Contact Information

Primary practice address
6809 122Nd Ave Kenosha WI 53142-7335
Phone: (262) 891-6575
Fax: (262) 654-5467
Website:
Map and Directions
Authorized official contact:
Name: Reuteman, Sheila
Phone: (414) 266-7615

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1245017201
LBN Legal business name Children'S Medical Group, Inc.
DBA Doing business as Kenosha Mental Health Walk-In Clinic
Authorized official Reuteman, Sheila
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2023
Last updated Sep 13th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245017201 NPPES
Wisconsin MEDICAID 1245017201

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