NPI 1285018630

American Telepsychiatry, INC.

Organisation General Practice Physician Milwaukee, WI

Practice location

Address: 5408 W Burleigh St, Milwaukee, WI 53210-1624
Phone: (414) 376-5577
Fax: (414) 446-3803
Mailing address: 4650 S Howell Ave, Milwaukee, WI 53207-5906

Authorised official

Name: Darren Matavka
Title: Vice President
Phone: (414) 376-5577

Registered specialties (3)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1285018630
Entity type: Organization
NPI issued: 16 Jul 2015
Record last updated: 16 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.