Provider Demographics
NPI:1033005491
Name:ROSENBLATT, ISIAH LEE (SAC-IT)
Entity type:Individual
Prefix:
First Name:ISIAH
Middle Name:LEE
Last Name:ROSENBLATT
Suffix:
Gender:M
Credentials:SAC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4485 N OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53211-1611
Mailing Address - Country:US
Mailing Address - Phone:414-273-8484
Mailing Address - Fax:414-446-3317
Practice Address - Street 1:4485 N OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-1611
Practice Address - Country:US
Practice Address - Phone:414-273-8484
Practice Address - Fax:414-446-3317
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI20880-130101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)