Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
VIVENT HEALTH INC
Active
Organization
VIVENT HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM DYER (EXEC VP)
(414) 225-1611
Entity
Organization
Contact information
Practice address
1212 57TH ST, KENOSHA, WI 53140-4069
(262) 657-6644
(262) 657-6949
Mailing address
820 N PLANKINTON AVE, MILWAUKEE, WI 53203-1802
(414) 225-1542
(414) 225-1575
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42228200
—
WI
Enumeration date
06/03/2011
Last updated
05/12/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up