NORTHSHORE CLINIC & CONSULTANTS, INC.
NPI 1720201163
Community/Behavioral Health in Cedarburg, WI

Active since April 11, 2007
W62N248 WASHINGTON AVE, SUITE #207, CEDARBURG, WI 53012(262) 375-1116(262) 375-1071 Get Directions Write a Review

NPPES record last updated: April 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northshore Clinic & Consultants, Inc. NPPES

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

NORTHSHORE CLINIC & CONSULTANTS, INC. (NPI 1720201163) is a healthcare organization registered as a community/behavioral health in Cedarburg, Wisconsin and active in the NPI registry since April 2007. The organization lists Therese A Jaeckle, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1720201163
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameNORTHSHORE CLINIC & CONSULTANTS, INC.
Location AddressW62N248 WASHINGTON AVE, SUITE #207Cedarburg, WI 53012-2768
Mailing AddressW62n248 Washington Ave, Suite #207Cedarburg, WI 53012-2768 · (262) 375-1116 · Fax (262) 375-1071
Fax(262) 375-1071
Organization SubpartNo
Authorized OfficialTherese A JaeckleClinical Director · (262) 375-1116
Enumeration DateApril 11, 2007
Last NPPES UpdateApril 19, 2011
NPI 1720201163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in WI · 1695
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

W62N248 WASHINGTON AVE, Cedarburg, WI 53012

Other Identifiers 2

Medicare PIN084862WI
Medicare PIN44295WI

Other Providers at the Same Location NPPES 11

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

Social Worker (Clinical)
W62N248 WASHINGTON AVE, SUITE#207
CEDARBURG, WI 53012
Nurse Practitioner (Psychiatric/Mental Health)
W62N248 WASHINGTON AVE
CEDARBURG, WI 53012
Family Medicine
W62N248 WASHINGTON AVE
CEDARBURG, WI 53012
Counselor (Professional)
W62N248 WASHINGTON AVE, SUITE#207
CEDARBURG, WI 53012
Clinic/Center (Mental Health (Including Community Mental Health Center))
W62N248 WASHINGTON AVE, SUITE 208
CEDARBURG, WI 53012
Counselor (Professional)
W62N248 WASHINGTON AVE, SUITE #207
CEDARBURG, WI 53012
Family Medicine
W62N248 WASHINGTON AVE
CEDARBURG, WI 53012
Counselor (Professional)
W62N248 WASHINGTON AVE, SUITE 207
CEDARBURG, WI 53012

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 Northshore Clinic & Consultants, Inc.'s NPI number?

The NPI number for Northshore Clinic & Consultants, Inc. is 1720201163. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Northshore Clinic & Consultants, Inc. located?

Northshore Clinic & Consultants, Inc. is located at W62n248 Washington Ave Suite #207, Cedarburg, WI 53012. The listed phone number is (262) 375-1116.

What is Northshore Clinic & Consultants, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Northshore Clinic & Consultants, Inc. was last updated on April 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.