1174331441 NPI number — NEXUS MOMENTUM PSYCHOTHERAPY LLC

Table of content: (NPI 1174331441)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174331441 NPI number — NEXUS MOMENTUM PSYCHOTHERAPY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEXUS MOMENTUM PSYCHOTHERAPY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174331441
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/31/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
777 N JEFFERSON ST
Provider Second Line Business Mailing Address:
STE 408 PMB 1250
Provider Business Mailing Address City Name:
MILWAUKEE
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53202-1924
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
414-367-8494
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2135 N 63RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAUWATOSA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53213-2054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-367-8494
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/19/2024

Additional Information

Authorized Official

Authorized Official Last Name:
BLACKFORD
Authorized Official First Name:
KYMBERLEE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
414-367-8494

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com