1. Home
  2. Directory
  3. Wisconsin
  4. Wauwatosa
  5. Psychiatry Neurology
  6. NPI Profile

PREVAIL PSYCHIATRY LLC
NPI 1417322868
Psychiatry & Neurology - Addiction Medicine in Wauwatosa, WI

Active since December 10, 2015
2222 N MAYFAIR RD, WAUWATOSA, WI 53226(262) 716-7580 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prevail Psychiatry Llc NPPES

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

PREVAIL PSYCHIATRY LLC (NPI 1417322868) is a healthcare organization registered as an addiction medicine in Wauwatosa, Wisconsin and active in the NPI registry since December 2015. The organization lists Justin Hanson, Owner, as its authorized official.

NPPES Registry Identity

NPI1417322868
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NamePREVAIL PSYCHIATRY LLC
Location Address2222 N MAYFAIR RDWauwatosa, WI 53226-2208
Mailing Address2222 N Mayfair RdWauwatosa, WI 53226-2208 · (262) 716-7580
Phone(262) 716-7580
Organization SubpartNo
Authorized OfficialJustin HansonOwner · (262) 716-7580
Enumeration DateDecember 10, 2015
✔ NPI 1417322868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
2222 N MAYFAIR RD, Wauwatosa, WI 53226
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 2

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

AASIYAH CLARK LPC
Counselor (Professional)
2222 N MAYFAIR RD
WAUWATOSA, WI 53226
Milwaukee County (414) 939-9390
BREGETTA WILSON MSCP
Counselor (Mental Health)
2222 N MAYFAIR RD
MILWAUKEE, WI 53226
Milwaukee County (414) 939-9252

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 Prevail Psychiatry LLC's NPI number?

The NPI number for Prevail Psychiatry LLC is 1417322868. It was assigned to this organization in the NPPES registry on December 10, 2015.

Where is Prevail Psychiatry LLC located?

Prevail Psychiatry LLC is located at 2222 N Mayfair Rd, Wauwatosa, WI 53226. The listed phone number is (262) 716-7580.

What is Prevail Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

When was this NPI record last updated?

The NPPES record for Prevail Psychiatry LLC was last updated on December 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.