Provider Demographics
NPI:1174633119
Name:BEHAVIORAL SOLUTIONS, INC.
Entity type:Organization
Organization Name:BEHAVIORAL SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:GERHARD
Authorized Official - Last Name:EBERHAGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:414-259-3900
Mailing Address - Street 1:PO BOX 11947
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53211-0947
Mailing Address - Country:US
Mailing Address - Phone:414-259-3900
Mailing Address - Fax:414-963-0000
Practice Address - Street 1:2015 E NEWPORT AVE
Practice Address - Street 2:SUITE 409
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-2984
Practice Address - Country:US
Practice Address - Phone:414-259-3900
Practice Address - Fax:414-963-0000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44410Medicare ID - Type Unspecified
WI44775Medicare ID - Type Unspecified
WI44430Medicare ID - Type Unspecified
WI44425Medicare ID - Type Unspecified