THE REDI CLINIC OF WAUWATOSA, SC
NPI 1043228505
Clinic/Center - Mental Health (Including Community Mental Health Center) in Wauwatosa, WI

Active since August 03, 2006
2500 N. MAYFAIR RD, STE 600, WAUWATOSA, WI 53226(414) 727-4455(414) 727-4690 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Redi Clinic Of Wauwatosa, Sc NPPES

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

THE REDI CLINIC OF WAUWATOSA, SC (NPI 1043228505), doing business as Pathway Clinic, Sc, is a healthcare organization registered as a mental health (including community mental health center) in Wauwatosa, Wisconsin and active in the NPI registry since August 2006. The organization lists Theodore Weltzin, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1043228505
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameTHE REDI CLINIC OF WAUWATOSA, SC
Location Address2500 N. MAYFAIR RD, STE 600Wauwatosa, WI 53226
Mailing Address2500 N. Mayfair Rd, Ste 600Wauwatosa, WI 53226 · (414) 727-4455 · Fax (414) 727-4690
Fax(414) 727-4690
Organization SubpartNo
Authorized OfficialTheodore WeltzinCo-owner · (414) 727-4455
Enumeration DateAugust 3, 2006
Last NPPES UpdateApril 18, 2017
NPI 1043228505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1729 (WI)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 1729 (WI)
2500 N. MAYFAIR RD, STE 600, Wauwatosa, WI 53226

Other Names 1

Former Legal Business NamePathway Clinic, Sc

Other Identifiers 4

Medicare PIN44485WI
Medicaid1043228505WI
Medicaid42127100WI
Other84793WI · Medicare Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 The Redi Clinic Of Wauwatosa, Sc's NPI number?

The NPI number for The Redi Clinic Of Wauwatosa, Sc is 1043228505. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider was formerly known as Pathway Clinic, Sc.

Where is The Redi Clinic Of Wauwatosa, Sc located?

The Redi Clinic Of Wauwatosa, Sc is located at 2500 N. Mayfair Rd, Ste 600, Wauwatosa, WI 53226. The listed phone number is (414) 727-4455.

What is The Redi Clinic Of Wauwatosa, Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for The Redi Clinic Of Wauwatosa, Sc was last updated on April 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.