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

MBH TELEHEALTH
NPI 1205068616
Clinic/Center - Mental Health (Including Community Mental Health Center) in Milwaukee, WI

Active since August 18, 2009CLIA 52D0389255 · Waiver
3365 S 103RD ST, MILWAUKEE, WI 53227(414) 228-4800(262) 432-9004 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2023, Dec 29, 2022, Dec 22, 2022 and 2 more (5 updates tracked since 2017).

About Mbh Telehealth NPPES

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

MBH TELEHEALTH (NPI 1205068616) is a healthcare organization registered as a mental health (including community mental health center) in Milwaukee, Wisconsin and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through August 31, 2027, maintains 6 additional practice locations, and lists Smriti Khare, President, as its authorized official.

NPPES Registry Identity

NPI1205068616
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCHILDREN'S MEDICAL GROUP
Location Address3365 S 103RD STMilwaukee, WI 53227-4161
Mailing Address9000 W Wisconsin Ave # Ms 958Milwaukee, WI 53226-4874 · (414) 266-7615 · Fax (414) 266-6238
Phone(414) 228-4800
Fax(262) 432-9004
Organization SubpartYes
Authorized OfficialSmriti KharePresident · (414) 266-6404
Enumeration DateAugust 18, 2009
Last NPPES UpdateFebruary 17, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
✔ NPI 1205068616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X
3365 S 103RD ST, Milwaukee, WI 53227
Open in Google Maps ↗

Other Names 1

Doing Business AsMbh Telehealth

Secondary Practice Locations 6

Location 17322 W Rawson AveFranklin, WI 53132-8104 · Phone (414) 228-4800 · Fax (414) 433-9007
Location 25433 W Fond Du Lac AveMilwaukee, WI 53216-1382 · Phone (414) 228-4800 · Fax (414) 277-8939
Location 32561 N 29th StMilwaukee, WI 53210-3116 · Phone (414) 228-4800 · Fax (414) 264-5625
Location 44855 S Moorland Rd Ste 150New Berlin, WI 53151-7495 · Phone (414) 228-4800 · Fax (414) 425-9803
Location 54655 N Port Washington Rd Ste 200Glendale, WI 53212-1076 · Phone (414) 228-4800 · Fax (414) 247-1875
Location 61655 W Mequon RdMequon, WI 53092-3254 · Phone (414) 228-4800 · Fax (414) 247-0894

Other Identifiers 1

Medicaid1205068616WI

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).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 52D0389255

Children's Medical Group Forest View Pediatrics · New Berlin, WI
Active · expires Aug 31, 2027
CLIA Number52D0389255
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorDr. Stanley Lo
Laboratory Phone(414) 425-5660
Laboratory LocationChildren's Medical Group Forest View Pediatrics4855 S Moorland Rd Ste 150, New Berlin, WI 53151
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. CHARLOTTE MARIA SHANAVER PHD; LP; HSP
Psychologist
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 604-7500
KYLE SCHARER
Specialist/Technologist (Athletic Trainer)
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 604-7260
CHERIE SGAMBATI D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 228-4800
KENYITA TAMARA BERRYHILL M.D.
Pediatrics
3365 S 103RD ST, SUITE 100
MILWAUKEE, WI 53227
Milwaukee County (414) 321-3951
DR. KEVIN D WALTER MD
Pediatrics (Sports Medicine)
3365 S 103RD ST, GREENWAY MEDICAL CENTER
MILWAUKEE, WI 53227
Milwaukee County (414) 604-7501
DAVID MEULER MD
Pediatrics
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 321-3951
DR. BRIAN R BUTLER DPT, ATC
Physical Therapist
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 604-7530
RENEE EIDE DPT, PT, ATC
Physical Therapist (Sports)
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (586) 596-0890

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 Children's Medical Group's NPI number?

The NPI number for Children's Medical Group is 1205068616. It was assigned to this organization in the NPPES registry on August 18, 2009. The provider is doing business as Mbh Telehealth.

Where is Children's Medical Group located?

Children's Medical Group is located at 3365 S 103rd St, Milwaukee, WI 53227. The listed phone number is (414) 228-4800.

What is Children's Medical Group'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.

Does Children's Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0389255) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Children's Medical Group accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Children's Medical Group 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 Children's Medical Group was last updated on February 17, 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.