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General NPI Number Information
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NPI Number | 1962298083
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Entity Type | Organization
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Legal Business Name | COMPASS PSYCHIATRY GROUP WISCONSIN LP
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 175 N CORPORATE DR STE 150
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City | BROOKFIELD
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State | WI
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Zip | 53045-5899
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Country | US
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Telephone | 877-552-6672
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Fax | 224-306-1879
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Provider Business Mailing Address
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Address Line | 60 REVERE DR STE 100
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City | NORTHBROOK
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State | IL
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Zip | 60062-1590
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Country | US
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Telephone | 224-306-1879
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Fax | 224-306-1878
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DAVID SCHREIBER
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Credential | MD
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Telephone | 773-649-0833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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