Adult & Adolescent Trt. Ctr.
NPI 1124286430ActiveOrganization· Psychiatry & Neurology, Psychiatry· Glendale, WI
Psychiatry & Neurology, Psychiatry in Glendale, Wisconsin, registered in NPPES in May 2008. The authorized official on file is Jeffrey W. Wilson, M.D., President.
Overview
| NPI | 1124286430 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2008 |
| Last updated in NPPES | May 23, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | 15620 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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