Organization · Type 2 NPI
Om Behavioral Health, Inc
Addiction Medicine (Preventive Medicine) Physician · Brookfield, WI
NPI number
1700753746
Active
Practice location
12630 W North Ave Ste 1B
Brookfield, WI 53005-4626
Fax (262) 395-4061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | None listed |
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | None listed |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
About NPI 1700753746
Om Behavioral Health, Inc's National Provider Identifier is 1700753746, issued on Oct 23, 2025. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Brookfield, WI. The record was last updated on Aug 22, 2026.