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NATIVITY JESUIT ACADEMY
NPI 1023752045
Clinic/Center - Adolescent and Children Mental Health in Milwaukee, WI

Active since April 26, 2022CLIA Certified · 2 labs
1515 S 29TH ST, MILWAUKEE, WI 53215(414) 672-1353(414) 672-0191 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2025, Apr 26, 2022 (2 updates tracked since 2022).

About Nativity Jesuit Academy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATIVITY JESUIT ACADEMY (NPI 1023752045) is a healthcare organization registered as an adolescent and children mental health in Milwaukee, Wisconsin and active in the NPI registry since April 2022. The organization holds 2 active CLIA laboratory certificates and lists Tanya M Stamps, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1023752045
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameSIXTEENTH STREET COMMUNITY HEALTH CENTER, INC
Location Address1515 S 29TH STMilwaukee, WI 53215-1912
Mailing AddressPo Box 778789Chicago, IL 60677-0001 · (414) 672-1353 · Fax (414) 672-0191
Phone(414) 672-1353
Fax(414) 672-0191
Organization SubpartYesParent: 16th Street Community Health Center, Inc
Authorized OfficialTanya M StampsChief Financial Officer · (414) 897-5407
Enumeration DateApril 26, 2022
Last NPPES UpdateJanuary 8, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1023752045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
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.
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
1515 S 29TH ST, Milwaukee, WI 53215
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Other Names 1

Other NameNativity Jesuit Academy

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2229385

Nativity Jesuit Academy · Milwaukee, WI
Active · expires Jul 11, 2027
CLIA Number52D2229385
Laboratory TypeSchool/Student Health Service
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorJon Nowak
Laboratory Phone(414) 645-1060
Laboratory LocationNativity Jesuit Academy1515 S 29th St, Milwaukee, WI 53215
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 52D0390144

Sixteenth Street Community Health Center · Milwaukee, WI
Active · expires Oct 2, 2026
CLIA Number52D0390144
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorMs. Sarah I. Bleything
Laboratory Phone(414) 672-1353
Laboratory LocationSixteenth Street Community Health Center1032 S Cesar E Chavez Dr, Milwaukee, WI 53204
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC.
Counselor (School)
1515 S 29TH ST
MILWAUKEE, WI 53215
Milwaukee County (800) 438-1772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sixteenth Street Community Health Center, Inc's NPI number?

The NPI number for Sixteenth Street Community Health Center, Inc is 1023752045. It was assigned to this organization in the NPPES registry on April 26, 2022. The provider is also known as Nativity Jesuit Academy.

Where is Sixteenth Street Community Health Center, Inc located?

Sixteenth Street Community Health Center, Inc is located at 1515 S 29th St, Milwaukee, WI 53215. The listed phone number is (414) 672-1353.

What is Sixteenth Street Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Does Sixteenth Street Community Health Center, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Sixteenth Street Community Health Center, Inc was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.