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Contact Information

OM BEHAVIORAL HEALTH, INC
12630 W NORTH AVE STE 1B
BROOKFIELD, WI53005-4626
 Phone: 262-646-0021
 Fax: 262-395-4061
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for OM BEHAVIORAL HEALTH INC · (Female)

NPI Number 1700753746
Status Active
Credentials
Entity Individual
Enumeration date 10/23/2025
Last updated 12/01/2025 - About 6 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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