NORTH SHORE PSYCHOTHERAPY ASSOCIATES IV
NPI 1194809574
Clinic/Center - Mental Health (Including Community Mental Health Center) in Glendale, WI
About North Shore Psychotherapy Associates Iv NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH SHORE PSYCHOTHERAPY ASSOCIATES IV (NPI 1194809574), doing business as Nspa, is a healthcare organization registered as a mental health (including community mental health center) in Glendale, Wisconsin and active in the NPI registry since October 2006. The organization lists Sheryl Dolezal, Co Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Shore Psychotherapy Associates Iv is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to North Shore Psychotherapy Associates IV, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Milwaukee, WI 53217
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 North Shore Psychotherapy Associates IV's NPI number?
The NPI number for North Shore Psychotherapy Associates IV is 1194809574. It was assigned to this organization in the NPPES registry on October 24, 2006. The provider is doing business as Nspa.
Where is North Shore Psychotherapy Associates IV located?
North Shore Psychotherapy Associates IV is located at 5555 N Port Washington Rd Ste 300, Glendale, WI 53217. The listed phone number is (414) 962-6764.
What is North Shore Psychotherapy Associates IV'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.
Is North Shore Psychotherapy Associates IV enrolled in Medicare?
Yes. North Shore Psychotherapy Associates IV is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Shore Psychotherapy Associates IV?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to North Shore Psychotherapy Associates IV. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (4), Clinical Social Worker (1) and Mental Health Counselor (1). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does North Shore Psychotherapy Associates IV accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Quartz list North Shore Psychotherapy Associates IV as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for North Shore Psychotherapy Associates IV was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# North Shore Psychotherapy Associates Iv · NPI 1194809574
Mental Health (Including Community Mental Health Center) organization in Glendale, Wisconsin. Organization record, active in the CMS NPPES registry since October 24, 2006.
## Identity
- **NPI:** 1194809574 (Entity type: Organization)
- **Enumerated:** October 24, 2006
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** NSPA (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Sheryl Dolezal, CO DIRECTOR
## Practice location
- **Address:** 5555 N PORT WASHINGTON RD STE 300, Glendale, WI 53217-4928
- **Phone:** (414) 962-6764 · **Fax:** (414) 962-6765
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (4), Clinical Social Worker (1), Mental Health Counselor (1); 4 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2026
- **Other identifiers:** Medicaid 100047128 (WI); Other K100345509 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1194809574) · Data from the CMS NPPES public registry.