OrganizationActive
Adult & Adolescent Trt. Ctr.
NPI 1124286430 · Psychiatry Physician · Glendale, WI
Adult & Adolescent Trt. Ctr. is a Psychiatry Physician organization in Glendale, WI (NPI 1124286430).
Provider details
- NPI number
- 1124286430
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Wilson, President(414) 332-0552
- License
- 15620 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
5225 N Ironwood Rd
S102
Glendale, WI 53217-4909
Phone: (414) 332-0552
Fax: (414) 962-4356
Street-level locationGet directions
Mailing address
5225 N Ironwood Rd
Glendale, WI 53217-4909
Registry dates
- Enumerated
- 2008-05-23
- Last updated
- 2008-05-23
Frequently asked questions
- What is Adult & Adolescent Trt. Ctr.'s NPI number?
- Adult & Adolescent Trt. Ctr.'s National Provider Identifier (NPI) is 1124286430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Adult & Adolescent Trt. Ctr.?
- Adult & Adolescent Trt. Ctr. is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Adult & Adolescent Trt. Ctr. located?
- Adult & Adolescent Trt. Ctr.'s practice location on file with NPPES is 5225 N Ironwood Rd, Glendale, WI 53217-4909.
- What is Adult & Adolescent Trt. Ctr.'s phone number?
- The practice phone number listed in the NPPES registry for Adult & Adolescent Trt. Ctr. is (414) 332-0552.
- Who is the authorized official for Adult & Adolescent Trt. Ctr.?
- The authorized official listed on Adult & Adolescent Trt. Ctr.'s NPPES record is Jeffrey Wilson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Adult & Adolescent Trt. Ctr.'s NPI active?
- Yes — Adult & Adolescent Trt. Ctr.'s NPI (1124286430) is active in the NPPES registry as of the last update on 2008-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.