1. Home
  2. Directory
  3. Wisconsin
  4. Waukesha
  5. Clinical Neuropsychologist
  6. NPI Profile

SHOREHAVEN BEHAVIORAL HEALTH INC
NPI 1265564678
Clinical Neuropsychologist in Waukesha, WI

Active since March 12, 2007
2314 N GRANDVIEW, SUITE 309, WAUKESHA, WI 53188(414) 540-2170(414) 540-2171 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Shorehaven Behavioral Health Inc NPPES

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

SHOREHAVEN BEHAVIORAL HEALTH INC (NPI 1265564678) is a healthcare organization registered as a clinical neuropsychologist in Waukesha, Wisconsin and active in the NPI registry since March 2007. The organization lists Don David Rosenberg, President, as its authorized official.

NPPES Registry Identity

NPI1265564678
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameSHOREHAVEN BEHAVIORAL HEALTH INC
Location Address2314 N GRANDVIEW, SUITE 309Waukesha, WI 53188
Mailing Address3900 W Brown Deer Rd, Suite 200Brown Deer, WI 53209 · (414) 540-2170 · Fax (414) 540-2171
Phone(414) 540-2170
Fax(414) 540-2171
Organization SubpartNo
Authorized OfficialDon David RosenbergPresident · (414) 540-2170
Enumeration DateMarch 12, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1265564678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
2314 N GRANDVIEW, Waukesha, WI 53188
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shorehaven Behavioral Health Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Shorehaven Behavioral Health Inc, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Mental Health Counselor10
Clinical Social Worker7
Marriage and Family Therapist3
Clinical Psychologist2
Psychiatry1

Nearest to this location (20)

See all 23
Jessica Weyer, MSW RAPCI LCSW
Clinical Social Worker
NPI 1104924018
2675 N MAYFAIR RD STE 400
Milwaukee, WI 53226
(414) 763-6910
✔ PECOS✔ Accepts Medicare11 mi
James Jensen, PHD
Clinical Psychologist
NPI 1083777635
3800 N MAYFAIR RD LUTHERAN COUNSELING & FAMILY SERVICES
Wauwatosa, WI 53222
(414) 536-8333
✔ PECOS✔ Accepts Medicare11 mi
Todd Thomas, LCSW, LICSW, LMFT
Clinical Social Worker
NPI 1932452448
1622 N 48TH ST
Milwaukee, WI 53208
(414) 200-9275
✔ PECOS✔ Accepts Medicare14 mi
Farrukh Ghazala, M.D
Marriage and Family Therapist
NPI 1104179019
3200 W HIGHLAND BLVD
Milwaukee, WI 53208
(414) 342-4560
✔ PECOS✔ Accepts Medicare15 mi
Bruce Semon, MD
Psychiatry
NPI 1114020773
3900 W BROWN DEER RD STE 200
Milwaukee, WI 53209
(414) 540-2170
✔ PECOS✔ Accepts Medicare18 mi
Christina Brigham
Clinical Social Worker
NPI 1467796433
3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209
(414) 540-2170
✔ PECOS✔ Accepts Medicare18 mi
Linda Jowett, LPC
Mental Health Counselor
NPI 1578856738
3900 W BROWN DEER RD
Brown Deer, WI 53209
(414) 540-2170
✔ PECOS18 mi
Eliese Rucktenwald, M.S.W., LCSW
Clinical Social Worker
NPI 1689851313
3900 W BROWN DEER RD SUITE 200
Brown Deer, WI 53209
(414) 540-1270
✔ PECOS18 mi
Bradley Klinger, MA
Mental Health Counselor
NPI 1558774075
3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209
(414) 540-2170
✔ PECOS✔ Accepts Medicare18 mi
Linda Pulice, LPC
Mental Health Counselor
NPI 1629644208
3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209
(414) 540-2170
✔ PECOS18 mi
Sarah Sleider
Clinical Social Worker
NPI 1740927110
3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209
(414) 540-2170
✔ PECOS18 mi
Carla Dobre-Chastain
Clinical Social Worker
NPI 1164208211
3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209
(414) 540-2170
✔ PECOS✔ Accepts Medicare18 mi
Tonya Hale, MS
Mental Health Counselor
NPI 1477613479
3900 W BROWN DEER RD SUITE 200
Brown Deer, WI 53209
(414) 540-2170
✔ PECOS18 mi
Nicole Klimowicz
Mental Health Counselor
NPI 1801505409
3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209
(414) 540-2170
✔ PECOS✔ Accepts Medicare18 mi
Mark La Fave
Clinical Psychologist
NPI 1588121172
3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209
(414) 540-2170
✔ PECOS✔ Accepts Medicare18 mi
Payton Lett
Marriage and Family Therapist
NPI 1336663145
3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209
(414) 540-2170
✔ PECOS✔ Accepts Medicare18 mi
Ayesha Maria
Marriage and Family Therapist
NPI 1356813042
3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209
(414) 540-2170
✔ PECOS✔ Accepts Medicare18 mi
Sara Rahn
Mental Health Counselor
NPI 1881260339
3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209
(414) 540-2170
✔ PECOS✔ Accepts Medicare18 mi
Michelle Reickert, MA
Mental Health Counselor
NPI 1548537111
3900 W BROWN DEER RD SUITE 200
Brown Deer, WI 53209
(414) 540-2170
✔ PECOS✔ Accepts Medicare18 mi
Susell Zarza-O'neill
Clinical Social Worker
NPI 1043081870
3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209
(414) 540-2170
✔ PECOS18 mi
See all 23 clinicians

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 Shorehaven Behavioral Health Inc's NPI number?

The NPI number for Shorehaven Behavioral Health Inc is 1265564678. It was assigned to this organization in the NPPES registry on March 12, 2007.

Where is Shorehaven Behavioral Health Inc located?

Shorehaven Behavioral Health Inc is located at 2314 N Grandview Suite 309, Waukesha, WI 53188. The listed phone number is (414) 540-2170.

What is Shorehaven Behavioral Health Inc's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Shorehaven Behavioral Health Inc enrolled in Medicare?

Yes. Shorehaven Behavioral Health Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shorehaven Behavioral Health Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 5 Medicare specialties reassign their Medicare billing to Shorehaven Behavioral Health Inc. 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 Mental Health Counselor (10), Clinical Social Worker (7) and Marriage and Family Therapist (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shorehaven Behavioral Health Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.