Nspa - Medicare Mental Health Clinic in Glendale, WI

Nspa is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Glendale, Wisconsin. The current practice location for Nspa is 5555 N Port Washington Rd Ste 300, Glendale, Wisconsin. For appointments, you can reach them via phone at (414) 962-6764. The mailing address for Nspa is 5555 N Port Washington Rd Ste 300, Glendale, Wisconsin and phone number is (414) 962-6764.

Nspa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194809574. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (414) 962-6764.

Contact Information

Nspa
5555 N Port Washington Rd Ste 300
Glendale
WI 53217-4928
(414) 962-6764
(414) 962-6765

Mental Health Clinic Profile

Full NameNspa
SpecialityClinic/Center
Location5555 N Port Washington Rd Ste 300, Glendale, Wisconsin
Authorized Official Name and PositionSheryl Dolezal (CO DIRECTOR)
Authorized Official Contact4149626764
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nspa
5555 N Port Washington Rd Ste 300
Glendale
WI 53217-4928

Ph: (414) 962-6764
Nspa
5555 N Port Washington Rd Ste 300
Glendale
WI 53217-4928

Ph: (414) 962-6764

NPI Details:

NPI Number1194809574
Provider Enumeration Date10/24/2006
Last Update Date05/08/2023
Certification Date05/08/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4688737646
Medicare Enrollment IDO20090116000521

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Medical Identifiers

Medical identifiers for Nspa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194809574NPI-NPPES
100047128MedicaidWI
K100345509OtherWIMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Nspa acts as a billing entity for following providers:
Provider NamePatricia M Meyer Chan
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1215015193
PECOS PAC ID: 9032272711
Enrollment ID: I20090106000692

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Provider NameSheryl L Dolezal
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1497839872
PECOS PAC ID: 7911914981
Enrollment ID: I20090121000473

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Clinic/Center in Glendale, WI

Physiological Health Sanctuary Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 500 W Silver Spring Dr Ste K200, Glendale, WI 53217
Phone: 414-207-4415    
Meadowbrook Counseling Of Wisconsin
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7101 N Green Bay Ave Ste 11, Glendale, WI 53209
Phone: 801-655-5450    
Medical Psychology Associates, Inc.
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 6110 N Port Washington Rd, Glendale, WI 53217
Phone: 414-962-1000    Fax: 414-963-6866
Natalie Hanson Counseling Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6789 N Green Bay Ave # M2-t2, Glendale, WI 53209
Phone: 414-395-0118    
Adult & Adolescent Trt. Ctr.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5225 N Ironwood Rd, S102, Glendale, WI 53217
Phone: 414-332-0552    Fax: 414-962-4356
Jeffrey L Polczinski Psyd Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5555 N Port Washington Rd, Suite 304, Glendale, WI 53217
Phone: 414-967-9550    Fax: 414-967-9550
Sebastian Family Psycholgy Practice
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6025 N Green Bay Ave, Glendale, WI 53209
Phone: 414-247-0801    Fax: 414-247-0816

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