Shorehaven Behavioral Health Inc

LBN: Shorehaven Behavioral Health Inc
Shorehaven Behavioral Health Inc is an health care organization with primary practice located at 3900 W Brown Deer Rd Suite 200, Brown Deer WI 53209-1220. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Shorehaven Behavioral Health Inc can be contacted via phone (414) 540-2170, or through Rosenberg, Don David via phone (414) 540-2170.

Contact Information

Primary practice address
3900 W Brown Deer Rd Suite 200 Brown Deer WI 53209-1220
Phone: (414) 540-2170
Fax: (414) 540-2171
Website:
Map and Directions
Authorized official contact:
Name: Rosenberg, Don David MS
Phone: (414) 540-2170

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X

Profile Details

NPI number 1891887055
LBN Legal business name Shorehaven Behavioral Health Inc
DBA Doing business as
Authorized official Rosenberg, Don David MS
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Mar 13th, 2015 - about 9 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 1891887055 NPPES
Wisconsin MEDICAID 42244721
Wisconsin MEDICAID 42244700

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