Organization · Type 2 NPI

North Shore Psychotherapy Associates IV

Mental Health Clinic/Center (Including Community Mental Health Center) · Glendale, WI

NPI number 1194809574 Active

Practice location

5555 N Port Washington Rd Ste 300
Glendale, WI 53217-4928

Fax (414) 962-6765

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1194809574

North Shore Psychotherapy Associates IV's National Provider Identifier is 1194809574, issued on Oct 24, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Glendale, WI. The record was last updated on Oct 21, 2026.