Greensqure Developmental Specialists

LBN: Children'S Medical Gruop
Greensqure Developmental Specialists is an health care organization with primary practice located at 6791 N Green Bay Ave , Glendale WI 53209-3422. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Children'S Medical Gruop can be contacted via phone (414) 228-4800, or through Khare, Smriti via phone (414) 266-7615.

Contact Information

Primary practice address
6791 N Green Bay Ave Glendale WI 53209-3422
Phone: (414) 228-4800
Fax: (414) 228-0894
Website:
Map and Directions
Authorized official contact:
Name: Khare, Smriti Doctor of Medicine (MD)
Phone: (414) 266-7615

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X

Profile Details

NPI number 1427223775
LBN Legal business name Children'S Medical Gruop
DBA Doing business as Greensqure Developmental Specialists
Authorized official Khare, Smriti Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 28th, 2008
Last updated Jan 19th, 2012 - about 12 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 1427223775 NPPES
Wisconsin MEDICAID 21305800

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