Om Behavioral Health, Inc
NPI 1700753746 · Addiction Medicine (Preventive Medicine) Physician · Brookfield, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Om Behavioral Health, Inc is a Addiction Medicine (Preventive Medicine) Physician organization in Brookfield, WI (NPI 1700753746).
Provider details
- NPI number
- 1700753746
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yoganand Gundamraj, President & Ceo(262) 391-7791
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Registry dates
- Enumerated
- 2025-10-23
- Last updated
- 2025-12-01
- Certified
- 2025-12-01
Frequently asked questions
- What is Om Behavioral Health, Inc's NPI number?
- Om Behavioral Health, Inc's National Provider Identifier (NPI) is 1700753746, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Om Behavioral Health, Inc?
- Om Behavioral Health, Inc is classified in the NPPES registry as Addiction Medicine (Preventive Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Om Behavioral Health, Inc located?
- Om Behavioral Health, Inc's practice location on file with NPPES is 12630 W North Ave Ste 1b, Brookfield, WI 53005-4626.
- What is Om Behavioral Health, Inc's phone number?
- The practice phone number listed in the NPPES registry for Om Behavioral Health, Inc is (262) 646-0021.
- Does Om Behavioral Health, Inc accept Medicare?
- Om Behavioral Health, Inc 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 Om Behavioral Health, Inc?
- The authorized official listed on Om Behavioral Health, Inc's NPPES record is Yoganand Gundamraj, President & Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Om Behavioral Health, Inc's NPI active?
- Yes — Om Behavioral Health, Inc's NPI (1700753746) is active in the NPPES registry as of the last update on 2025-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.