RIVERWALK PSYCHOTHERAPY ASSOCIATES, LLC – NPI #1073687349
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

RIVERWALK PSYCHOTHERAPY ASSOCIATES, LLC is a provider located in MILWAUKEE, WI. NPPES has assigned the NPI number 1073687349 to RIVERWALK PSYCHOTHERAPY ASSOCIATES, LLC on November 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is MIDWEST CENTER FOR HUMAN SERVICES. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 12 years ago on Jun 10, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RIVERWALK PSYCHOTHERAPY ASSOCIATES, LLC below.

NPI Profile for
RIVERWALK PSYCHOTHERAPY ASSOCIATES, LLC

NPI Number
1073687349
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RIVERWALK PSYCHOTHERAPY ASSOCIATES, LLC
Former Legal Business Name: MIDWEST CENTER FOR HUMAN SERVICES
Primary location
1110 N. OLD WORLD THIRD ST.
SUITE 401
MILWAUKEE, WI 53203
Phone: (414) 224-0800 Fax: (414) 224-0883
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SERENA CLARDIE
PARTNER/PSYCHOTHERAPIST
Phone: (414) 224-0800
Updated
Identifiers

Identifiers for RIVERWALK PSYCHOTHERAPY ASSOCIATES, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI42184700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
1041C0700X
- Social Worker / Clinical

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.