OrganizationActive
Tiaraed Warrior LLC
NPI 1871434415 · Adult Mental Health Clinic/Center · Appleton, WI
Provider details
- NPI number
- 1871434415
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Debra Vandenboom, Owner(262) 325-7424
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
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
2800 E Enterprise Ave Ste 333
Appleton, WI 54913-7889
Phone: (920) 212-8927
Street-level locationGet directions
Mailing address
915 Oshkosh St
New London, WI 54961-1633
Registry dates
- Enumerated
- 2026-04-06
- Last updated
- 2026-04-06
- Certified
- 2026-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.