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

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: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 UpdateDecember 1, 2025
NPPES CertifiedDecember 1, 2025
✔ NPI 1700753746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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
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

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.

When was this NPI record last updated?

The NPPES record for Om Behavioral Health, Inc was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.