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General NPI Number Information
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NPI Number | 1154476026
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Entity Type | Organization
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Legal Business Name | AMERICAN BEHAVIORAL CLINICS
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 15285 WATERTOWN PLANK RD
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City | ELM GROVE
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State | WI
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Zip | 53122-2339
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Country | US
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Telephone | 262-797-2818
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Fax | 262-797-2814
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Provider Business Mailing Address
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Address Line | 15285 WATERTOWN PLANK RD
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City | ELM GROVE
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State | WI
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Zip | 53122-2339
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Country | US
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Telephone | 262-797-2818
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Fax | 262-797-2814
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Authorized Official
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Title or Position | PSYCHITRIST
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Name | JAMES WINSTON
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Credential | M.D.
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Telephone | 262-797-2818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 1964-123
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License Number State | WI
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