1. Home
  2. Directory
  3. Wisconsin
  4. Mequon
  5. Clinic Center
  6. NPI Profile

NORTH SHORE CENTER LLC
NPI 1780755389
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mequon, WI

Active since November 13, 2006
1500 W MARKET ST STE 200, MEQUON, WI 53092(262) 241-5955(262) 241-5926 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About North Shore Center Llc NPPES

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

NORTH SHORE CENTER LLC (NPI 1780755389) is a healthcare organization registered as a mental health (including community mental health center) in Mequon, Wisconsin and active in the NPI registry since November 2006. The organization lists Jennifer Strom, Director/manager, as its authorized official.

NPPES Registry Identity

NPI1780755389
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNORTH SHORE CENTER LLC
Location Address1500 W MARKET ST STE 200Mequon, WI 53092-5083
Mailing Address1500 W Market St Ste 200Mequon, WI 53092-5083 · (262) 241-5955 · Fax (262) 241-5926
Phone(262) 241-5955
Fax(262) 241-5926
Organization SubpartNo
Authorized OfficialJennifer StromDirector/manager · (262) 241-5955
Enumeration DateNovember 13, 2006
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1780755389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1500 W MARKET ST STE 200, Mequon, WI 53092
Open in Google Maps ↗

Other Identifiers 1

Medicaid42204700WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Shore Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to North Shore Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Judy Blumenfeld, PHD
Clinical Psychologist
NPI 1891868253
1500 W MARKET ST STE 200
Mequon, WI 53092
(262) 241-5955
✔ PECOS✔ Accepts MedicareSame address
Michael Mazius, PHD
Clinical Psychologist
NPI 1114098712
10303 N PORT WASHINGTON RD #203
Mequon, WI 53092
(262) 241-5955
✔ PECOS0.9 mi
Amanda Anhalt, LCSW, CSAC
Clinical Social Worker
NPI 1447758693
2600 KILEY WAY
Plymouth, WI 53073
(920) 459-1494
✔ PECOS✔ Accepts Medicare37 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 North Shore Center LLC's NPI number?

The NPI number for North Shore Center LLC is 1780755389. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is North Shore Center LLC located?

North Shore Center LLC is located at 1500 W Market St Ste 200, Mequon, WI 53092. The listed phone number is (262) 241-5955.

What is North Shore Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is North Shore Center LLC enrolled in Medicare?

Yes. North Shore Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Shore Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to North Shore Center LLC, in Clinical Psychologist and Clinical Social Worker. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for North Shore Center LLC was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.