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

Organization Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1417322868

Prevail Psychiatry LLC is an Addiction Medicine (Psychiatry & Neurology) Physician in Wauwatosa, Wisconsin. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2222 N Mayfair Rd
Wauwatosa, WI 53226-2208
Phone: (262) 716-7580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084A0401X

Record details

NPI number1417322868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Hanson — Owner · (262) 716-7580
NPI enumeratedDecember 10, 2015
Last updated in NPPESDecember 10, 2015
Mailing address2222 N Mayfair Rd, Wauwatosa, WI 53226-2208

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