Organization
AURORA PSYCHIATRIC HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (VP MANAGED HEALTH)
(704) 631-0450
Entity
Organization
Contact information
Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213
(414) 454-6600
Mailing address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 454-6600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261Q00000X
Clinic/Center
—
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
WI
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100068881
—
WI
05
—
10062800
—
WI
05
—
42238300
—
WI
05
—
43007900
—
WI
Enumeration date
07/08/2006
Last updated
10/01/2025
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