Organization
OM BEHAVIORAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOGANAND GUNDAMRAJ MD (PRESIDENT & CEO)
(262) 391-7791
Entity
Organization
Contact information
Practice address
12630 W NORTH AVE STE 1B, BROOKFIELD, WI 53005-4626
(262) 646-0021
(262) 395-4061
Mailing address
12630 W NORTH AVE STE 1B, BROOKFIELD, WI 53005-4626
(262) 646-0021
(262) 395-4061
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
Other
Enumeration date
10/23/2025
Last updated
08/22/2026
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