Provider Demographics
NPI:1497849152
Name:SYSTEMIC PERSPECTIVES, INC.
Entity Type:Organization
Organization Name:SYSTEMIC PERSPECTIVES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:WENDT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:262-641-4347
Mailing Address - Street 1:2511 N 124TH ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-4622
Mailing Address - Country:US
Mailing Address - Phone:262-641-4347
Mailing Address - Fax:262-641-4350
Practice Address - Street 1:2511 N 124TH ST
Practice Address - Street 2:SUITE 106
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-4622
Practice Address - Country:US
Practice Address - Phone:262-641-4347
Practice Address - Fax:262-641-4350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000084559Medicare PIN