North Shore Psychotherapy Associates IV
NPI 1194809574 · Mental Health Clinic/Center (Including Community Mental Health Center) · Glendale, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
North Shore Psychotherapy Associates IV is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Glendale, WI (NPI 1194809574).
Provider details
- NPI number
- 1194809574
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sheryl Dolezal, Co Director(414) 962-6764
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Nspa
- Doing business as
- Nspa
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2023-05-08
- Certified
- 2023-05-08
Frequently asked questions
- What is North Shore Psychotherapy Associates IV's NPI number?
- North Shore Psychotherapy Associates IV's National Provider Identifier (NPI) is 1194809574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North Shore Psychotherapy Associates IV?
- North Shore Psychotherapy Associates IV is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is North Shore Psychotherapy Associates IV located?
- North Shore Psychotherapy Associates IV's practice location on file with NPPES is 5555 N Port Washington Rd Ste 300, Glendale, WI 53217-4928.
- What is North Shore Psychotherapy Associates IV's phone number?
- The practice phone number listed in the NPPES registry for North Shore Psychotherapy Associates IV is (414) 962-6764.
- Does North Shore Psychotherapy Associates IV accept Medicare?
- North Shore Psychotherapy Associates IV is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for North Shore Psychotherapy Associates IV?
- The authorized official listed on North Shore Psychotherapy Associates IV's NPPES record is Sheryl Dolezal, Co Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North Shore Psychotherapy Associates IV's NPI active?
- Yes — North Shore Psychotherapy Associates IV's NPI (1194809574) is active in the NPPES registry as of the last update on 2023-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.