OrganizationActive
Mind Neurology Wisconsin Sc
NPI 1073242194 · Medical Specialty Clinic/Center · Mequon, WI
Provider details
- NPI number
- 1073242194
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Hart, Chief Operating Officer(414) 430-0069
Specialties & taxonomies
Ambulatory Health Care Facilities
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12200 Corporate Pkwy Ste 400
Mequon, WI 53092-3300
Phone: (414) 430-0069
Street-level locationGet directions
Mailing address
12200 Corporate Pkwy Ste 400
Mequon, WI 53092-3300
Additional practice locations (1)
- 1725 N Casaloma DrAppleton, WI 54913-7916Phone: (888) 585-7975Fax: (833) 687-1434
Registry dates
- Enumerated
- 2022-06-06
- Last updated
- 2024-08-19
- Certified
- 2024-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.