OrganizationActive
Lakeshore Clinic Ltd
NPI 1407925985 · Mental Health Clinic/Center (Including Community Mental Health Center) · Milwaukee, WI
Provider details
- NPI number
- 1407925985
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Patricia Briceno, Administrator(414) 962-9909
- License
- 1497 (WI)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 1497 (WI)
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
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
3970 N Oakland Ave
Suite 502
Milwaukee, WI 53211
Phone: (414) 962-9909
Fax: (414) 332-8596
Street-level locationGet directions
Mailing address
3970 N Oakland Ave
Milwaukee, WI 53211
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.