COLLABORATIVE PSYCHOTHERAPY, LLC
NPI 1669731972
Social Worker - Clinical in Glendale, WI

Active since May 07, 2012
6793 N GREEN BAY AVE, GLENDALE, WI 53209(414) 292-3900(414) 292-3901 Get Directions Write a Review

NPPES record last updated: May 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Collaborative Psychotherapy, Llc NPPES

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

COLLABORATIVE PSYCHOTHERAPY, LLC (NPI 1669731972) is a healthcare organization registered as a clinical in Glendale, Wisconsin and active in the NPI registry since May 2012. The organization lists Terence Michael Gunville, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1669731972
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOLLABORATIVE PSYCHOTHERAPY, LLC
Location Address6793 N GREEN BAY AVEGlendale, WI 53209-3422
Mailing Address8961 W Palmetto CtMilwaukee, WI 53225-5017 · (414) 536-8604 · Fax (414) 536-8605
Fax(414) 292-3901
Organization SubpartNo
Authorized OfficialTerence Michael GunvillePsychotherapist · (414) 292-3900
Enumeration DateMay 7, 2012
NPI 1669731972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 835-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6793 N GREEN BAY AVE, Glendale, WI 53209

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

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

Neuromusculoskeletal Medicine & OMM
6793 N GREEN BAY AVE
GLENDALE, WI 53209

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 Collaborative Psychotherapy, LLC's NPI number?

The NPI number for Collaborative Psychotherapy, LLC is 1669731972. It was assigned to this organization in the NPPES registry on May 7, 2012.

Where is Collaborative Psychotherapy, LLC located?

Collaborative Psychotherapy, LLC is located at 6793 N Green Bay Ave, Glendale, WI 53209. The listed phone number is (414) 292-3900.

What is Collaborative Psychotherapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Collaborative Psychotherapy, LLC was last updated on May 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.