SHALEM HEALING, INC.
NPI 1073801395
Clinic/Center in Milwaukee, WI

Active since July 20, 2011CLIA 52D1052772 · Waiver
3338 N DOCTOR MARTIN LUTHER KING JR. DRIVE, MILWAUKEE, WI 53212(414) 640-5433 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 6, 2023, May 30, 2023, May 23, 2023 and 1 more (4 updates tracked since 2021).

About Shalem Healing, Inc. NPPES

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

SHALEM HEALING, INC. (NPI 1073801395) is a healthcare organization registered as a clinic/center in Milwaukee, Wisconsin and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Jonathan Gelfman, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1073801395
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSHALEM HEALING, INC.
Location Address3338 N DOCTOR MARTIN LUTHER KING JR. DRIVEMilwaukee, WI 53212
Mailing Address3338 N Doctor Martin Luther King Jr. DriveMilwaukee, WI 53212
Organization SubpartNo
Authorized OfficialJonathan GelfmanClinic Director · (414) 640-5433
Enumeration DateJuly 20, 2011
Last NPPES UpdateDecember 6, 20234 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
NPI 1073801395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
3338 N DOCTOR MARTIN LUTHER KING JR. DRIVE, Milwaukee, WI 53212

Other Identifiers 1

Medicaid39909600WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 52D1052772

Shalem Healing Inc · Milwaukee, WI
Active · expires Apr 27, 2028
CLIA Number52D1052772
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorMr. Robert J. Fox
Laboratory Phone(414) 640-5433
Laboratory LocationShalem Healing Inc3338 N Doctor Martin Luther King Drive - 2nd Floor, Milwaukee, WI 53212
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073801395, enumerated as an "organization" on July 20, 2011.

The provider is located at 3338 N DOCTOR MARTIN LUTHER KING JR. DRIVE MILWAUKEE, WI 53212 and the phone number is (414) 640-5433.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.