OM BEHAVIORAL HEALTH, INC
NPI 1700753746
Preventive Medicine - Addiction Medicine in Brookfield, WI

Q: What is Om Behavioral Health, Inc's NPI number?

The NPI number for Om Behavioral Health, Inc is 1700753746. It was assigned to this organization in the NPPES registry on October 23, 2025.

Q: What is Om Behavioral Health, Inc's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Active since October 23, 2025

12630 W NORTH AVE STE 1B, BROOKFIELD, WI 53005(262) 646-0021(262) 395-4061 Get Directions Write a Review

NPPES record last updated: August 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 22, 2026, Dec 1, 2025 (2 updates tracked since 2025).

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About Om Behavioral Health, Inc NPPES

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

OM BEHAVIORAL HEALTH, INC (NPI 1700753746) is a healthcare organization registered as an addiction medicine in Brookfield, Wisconsin and active in the NPI registry since October 2025. The organization lists Yoganand Gundamraj, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1700753746

Entity TypeOrganization

Primary Taxonomy2083A0300X

Legal Business NameOM BEHAVIORAL HEALTH, INC

Location Address12630 W NORTH AVE STE 1BBrookfield, WI 53005-4626

Mailing Address12630 W North Ave Ste 1bBrookfield, WI 53005-4626 · (262) 646-0021 · Fax (262) 395-4061

Phone(262) 646-0021

Fax(262) 395-4061

Organization SubpartNo

Authorized OfficialYoganand GundamrajPresident & Ceo · (262) 391-7791

Enumeration DateOctober 23, 2025

Last NPPES UpdateAugust 22, 20262 updates tracked since enumeration

NPPES CertifiedAugust 22, 2026

✔ NPI 1700753746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0300X

Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X

12630 W NORTH AVE STE 1B, Brookfield, WI 53005

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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 CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Om Behavioral Health, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Yoganand Gundamraj, MD

Internal Medicine

NPI 1104859370

1220 DEWEY AVE
Wauwatosa, WI 53213

(414) 454-6600

✔ PECOS3.4 mi

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 Om Behavioral Health, Inc's NPI number?

The NPI number for Om Behavioral Health, Inc is 1700753746. It was assigned to this organization in the NPPES registry on October 23, 2025.

Where is Om Behavioral Health, Inc located?

Om Behavioral Health, Inc is located at 12630 W North Ave Ste 1B, Brookfield, WI 53005. The listed phone number is (262) 646-0021.

What is Om Behavioral Health, Inc's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Om Behavioral Health, Inc enrolled in Medicare?

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

How many clinicians bill Medicare through Om Behavioral Health, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Om 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Om Behavioral Health, Inc accept?

Health plans from CareSource (Common Ground Healthcare) list Om Behavioral Health, Inc 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 Om Behavioral Health, Inc was last updated on August 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.