National Provider Identifier Database

SIXTEENTH STREET COMMUNITY HEALTH CENTER INC
Adolescent and Children Mental Health

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.


Contact Information

SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC
1515 S 29TH ST
MILWAUKEE, WI53215-1912
Phone: 414-672-1353
Fax: 414-672-0191
Website:
Specialty Taxonomy Code
* Adolescent and Children Mental Health 261QM0855X
Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC

NPI Number 1023752045
Legal business name
LBN
SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC
Authorized official TANYA STAMPS - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 04/26/2022
Last updated 01/08/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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