Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children's Medical Group

Organization Mental Health Counselor · NPI 1710152954

Children's Medical Group is a Mental Health Counselor in Glendale, Wisconsin. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
9

Practice location Address checks out

4655 N Port Washington Rd Ste 200
Glendale, WI 53212-1076
Phone: (414) 247-9530
Fax: (414) 247-1875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X
Psychiatry Physician Taxonomy 2084P0800X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X

Record details

NPI number1710152954
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChildren's Medical Group
Authorized official Smriti Khare — President, Children'S Medical Group · (414) 266-7615
Other names River Glen Pediatrics
NPI enumeratedApril 29, 2008
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021
Mailing address9000 W Wisconsin Ave, Ms 958, Milwaukee, WI 53226-4874

Other providers in Glendale