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IRONWOOD MENTAL HEALTH LLC
NPI 1508640814
Clinic/Center - Mental Health (Including Community Mental Health Center) in Waukesha, WI

Active since August 21, 2023
403 N GRAND AVE # 101, WAUKESHA, WI 53186(262) 300-4948 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2024, Aug 21, 2023 (2 updates tracked since 2023).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About IRONWOOD MENTAL HEALTH LLC

This page provides the complete NPI Profile along with additional information for Ironwood Mental Health Llc, a provider established in Waukesha, Wisconsin operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1508640814 assigned on August 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Regina Van Gorden (Owner)

NPI
1508640814 Verify this NPI
Provider Name
IRONWOOD MENTAL HEALTH LLC
Entity Type
Organization
Location Address
403 N GRAND AVE # 101 WAUKESHA, WI 53186
Location Phone
(262) 300-4948
Mailing Address
403 N GRAND AVE # 101 WAUKESHA, WI 53186
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-21-2023
Last Update Date
03-07-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REGINA VAN GORDEN

Authorized Official Title
OWNER
Authorized Official Phone
(262) 300-4948

Reviews for IRONWOOD MENTAL HEALTH LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

REGINA VAN GORDEN R.N., APNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
403 N GRAND AVE # 101
WAUKESHA, WI 53186
Waukesha County (262) 300-4948
COURTNEY SENK LPC, NCC
Counselor (Professional)
403 N GRAND AVE # 101
WAUKESHA, WI 53186
Waukesha County (262) 240-4055

Frequently Asked Questions

What is IRONWOOD MENTAL HEALTH LLC's NPI number?

The NPI number assigned to this healthcare provider is 1508640814, enumerated as an "organization" on August 21, 2023.

Where is the provider located?

The provider is located at 403 N GRAND AVE # 101 WAUKESHA, WI 53186 and the phone number is (262) 300-4948.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).