NPI 1619731320 · live from the CMS NPI Registry
Ganesha Institute Of Neurology And Psychiatry Sc
Psychiatry & Neurology, Neurology in Kenosha, WI. National Provider Identifier 1619731320, active.
NPI record
| NPI | 1619731320 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 4600 Green Bay Rd, Kenosha, WI 53144 |
| Practice phone | 262-286-1860 |
| Mailing address | Po Box 14545, Belfast, ME 04915 |
| Enumerated | February 13, 2024 |
| Last updated | January 17, 2025 |
| Authorized official | Lori Smith, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | — |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Psychiatry & Neurology, Vascular Neurology | 2084V0102X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.