SHOREHAVEN BEHAVIORAL HEALTH INC
NPI 1891887055
Psychologist - Clinical in Brown Deer, WI

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

The NPI number for Shorehaven Behavioral Health Inc is 1891887055. It was assigned to this organization in the NPPES registry on September 28, 2006.

Q: What is Shorehaven Behavioral Health Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since September 28, 2006

3900 W BROWN DEER RD, SUITE 200, BROWN DEER, WI 53209(414) 540-2170(414) 540-2171 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Shorehaven Behavioral Health Inc NPPES

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

SHOREHAVEN BEHAVIORAL HEALTH INC (NPI 1891887055) is a healthcare organization registered as a clinical in Brown Deer, Wisconsin and active in the NPI registry since September 2006. The organization lists Don David Rosenberg, President, as its authorized official.

NPPES Registry Identity

NPI1891887055

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSHOREHAVEN BEHAVIORAL HEALTH INC

Location Address3900 W BROWN DEER RD, SUITE 200Brown Deer, WI 53209-1220

Mailing Address3900 W Brown Deer Rd, Suite 200Brown Deer, WI 53209-1220 · (414) 540-2170 · Fax (414) 540-2171

Phone(414) 540-2170

Fax(414) 540-2171

Organization SubpartNo

Authorized OfficialDon David RosenbergPresident · (414) 540-2170

Enumeration DateSeptember 28, 2006

Last NPPES UpdateMarch 13, 2015

✔ NPI 1891887055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedClinical NeuropsychologistTaxonomy 103G00000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X

Also ListedArt TherapistTaxonomy 221700000X

3900 W BROWN DEER RD, Brown Deer, WI 53209

Open in Google Maps ↗

Other Identifiers 2

Medicaid42244721WI

Medicaid42244700WI

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 Anthem Blue Cross and Blue Shield, Quartz, UnitedHealthcare.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)

Shorehaven 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 23 clinicians reassign Medicare billing to Shorehaven Behavioral Health Inc, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Mental Health Counselor10

Clinical Social Worker7

Marriage and Family Therapist3

Clinical Psychologist2

Psychiatry1

Nearest to this location (20)

See all 23

Christina Brigham

Clinical Social Worker

NPI 1467796433

3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209

(414) 540-2170

✔ PECOS✔ Accepts MedicareSame address

Linda Jowett, LPC

Mental Health Counselor

NPI 1578856738

3900 W BROWN DEER RD
Brown Deer, WI 53209

(414) 540-2170

✔ PECOSSame address

Eliese Rucktenwald, M.S.W., LCSW

Clinical Social Worker

NPI 1689851313

3900 W BROWN DEER RD SUITE 200
Brown Deer, WI 53209

(414) 540-1270

✔ PECOSSame address

Bradley Klinger, MA

Mental Health Counselor

NPI 1558774075

3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209

(414) 540-2170

✔ PECOS✔ Accepts MedicareSame address

Linda Pulice, LPC

Mental Health Counselor

NPI 1629644208

3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209

(414) 540-2170

✔ PECOSSame address

Sarah Sleider

Clinical Social Worker

NPI 1740927110

3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209

(414) 540-2170

✔ PECOSSame address

Bruce Semon, MD

Psychiatry

NPI 1114020773

3900 W BROWN DEER RD STE 200
Milwaukee, WI 53209

(414) 540-2170

✔ PECOS✔ Accepts MedicareSame address

Carla Dobre-Chastain

Clinical Social Worker

NPI 1164208211

3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209

(414) 540-2170

✔ PECOS✔ Accepts MedicareSame address

Tonya Hale, MS

Mental Health Counselor

NPI 1477613479

3900 W BROWN DEER RD SUITE 200
Brown Deer, WI 53209

(414) 540-2170

✔ PECOSSame address

Nicole Klimowicz

Mental Health Counselor

NPI 1801505409

3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209

(414) 540-2170

✔ PECOS✔ Accepts MedicareSame address

Mark La Fave

Clinical Psychologist

NPI 1588121172

3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209

(414) 540-2170

✔ PECOS✔ Accepts MedicareSame address

Payton Lett

Marriage and Family Therapist

NPI 1336663145

3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209

(414) 540-2170

✔ PECOS✔ Accepts MedicareSame address

Ayesha Maria

Marriage and Family Therapist

NPI 1356813042

3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209

(414) 540-2170

✔ PECOS✔ Accepts MedicareSame address

Sara Rahn

Mental Health Counselor

NPI 1881260339

3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209

(414) 540-2170

✔ PECOS✔ Accepts MedicareSame address

Michelle Reickert, MA

Mental Health Counselor

NPI 1548537111

3900 W BROWN DEER RD SUITE 200
Brown Deer, WI 53209

(414) 540-2170

✔ PECOS✔ Accepts MedicareSame address

Ian Roudebush

Mental Health Counselor

NPI 1710606520

3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209

(414) 540-2170

✔ PECOSSame address

Hannah Theer

Mental Health Counselor

NPI 1346011087

3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209

(414) 540-2170

✔ PECOS✔ Accepts MedicareSame address

Susell Zarza-O'neill

Clinical Social Worker

NPI 1043081870

3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209

(414) 540-2170

✔ PECOSSame address

Callen Shaw

Mental Health Counselor

NPI 1578304101

3900 W BROWN DEER RD STE 200
Brown Deer, WI 53209

(414) 540-2170

✔ PECOSSame address

James Jensen, PHD

Clinical Psychologist

NPI 1083777635

3800 N MAYFAIR RD LUTHERAN COUNSELING & FAMILY SERVICES
Wauwatosa, WI 53222

(414) 536-8333

✔ PECOS✔ Accepts Medicare7.7 mi

See all 23 clinicians

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 Shorehaven Behavioral Health Inc's NPI number?

The NPI number for Shorehaven Behavioral Health Inc is 1891887055. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Shorehaven Behavioral Health Inc located?

Shorehaven Behavioral Health Inc is located at 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209. The listed phone number is (414) 540-2170.

What is Shorehaven Behavioral Health Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Shorehaven Behavioral Health Inc enrolled in Medicare?

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

How many clinicians bill Medicare through Shorehaven Behavioral Health Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 5 Medicare specialties reassign their Medicare billing to Shorehaven 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. The largest specialties are Mental Health Counselor (10), Clinical Social Worker (7) and Marriage and Family Therapist (3). Of these, 19 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shorehaven Behavioral Health Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Quartz and UnitedHealthcare list Shorehaven 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 Shorehaven Behavioral Health Inc was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.