1. Home
  2. Directory
  3. Wisconsin
  4. Glendale
  5. Clinic Center
  6. NPI Profile

NSPA
NPI 1194809574
Clinic/Center - Mental Health (Including Community Mental Health Center) in Glendale, WI

Active since October 24, 2006
5555 N PORT WASHINGTON RD STE 300, GLENDALE, WI 53217(414) 962-6764(414) 962-6765 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2023, Feb 2, 2023 (2 updates tracked since 2023).

About Nspa NPPES

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

NSPA (NPI 1194809574) 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

NPI1194809574
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNORTH SHORE PSYCHOTHERAPY ASSOCIATES IV
Location Address5555 N PORT WASHINGTON RD STE 300Glendale, WI 53217-4928
Mailing Address5555 N Port Washington Rd Ste 300Glendale, WI 53217-4928 · (414) 962-6764 · Fax (414) 962-6765
Phone(414) 962-6764
Fax(414) 962-6765
Organization SubpartNo
Authorized OfficialSheryl DolezalCo Director · (414) 962-6764
Enumeration DateOctober 24, 2006
Last NPPES UpdateMay 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
✔ NPI 1194809574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
5555 N PORT WASHINGTON RD STE 300, Glendale, WI 53217
Open in Google Maps ↗

Other Names 1

Doing Business AsNspa

Other Identifiers 2

Medicaid100047128WI
OtherK100345509WI · Medicare

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Quartz.Insurance ›

Other Providers at the Same Location NPPES 8

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

DR. JENNIFER M KATELE PSY.D.
Psychologist (Clinical)
5555 N PORT WASHINGTON RD STE 300
GLENDALE, WI 53217
Milwaukee County (414) 962-6764
CHELSY HOLAT MS, NCC, LPC
Counselor (Mental Health)
5555 N PORT WASHINGTON RD STE 300
MILWAUKEE, WI 53217
Milwaukee County (414) 962-6764
DR. SHERYL L DOLEZAL PSYD
Psychologist (Clinical)
5555 N PORT WASHINGTON RD STE 300
MILWAUKEE, WI 53217
Milwaukee County (414) 962-6764
NICHOLAS JEFFREY WALKOWIAK MS
Psychologist (Clinical)
5555 N PORT WASHINGTON RD STE 300
GLENDALE, WI 53217
Milwaukee County (218) 590-3590
ALEXIS LOCKETT-GLOVER M.S., LPC-IT, NCC
Counselor (Professional)
5555 N PORT WASHINGTON RD STE 300
GLENDALE, WI 53217
Milwaukee County (414) 962-6764
KARALEE R AMROZEWICZ
Student in an Organized Health Care Education/Training Program
5555 N PORT WASHINGTON RD STE 300
GLENDALE, WI 53217
Milwaukee County (414) 962-6764
SAMANTHA BROOMFIELD
Student in an Organized Health Care Education/Training Program
5555 N PORT WASHINGTON RD STE 300
GLENDALE, WI 53217
Milwaukee County (414) 962-6764
GABRIELLA NICOLE GODFREY M.S.
Student in an Organized Health Care Education/Training Program
5555 N PORT WASHINGTON RD STE 300
GLENDALE, WI 53217
Milwaukee County (414) 962-6764

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.

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 May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.