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

Psychiatric & Psychotherapy Clinic L I Newman MD SC Gen Ptr

Organization Addiction (Substance Use Disorder) Counselor · NPI 1932312212

Psychiatric & Psychotherapy Clinic L I Newman MD SC Gen Ptr is an Addiction (Substance Use Disorder) Counselor in Kenosha, Wisconsin. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3

Practice location Address checks out

3601 30th Ave Ste 102
Kenosha, WI 53144-1642
Phone: (262) 654-0487
Fax: (262) 654-2434
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X

Record details

NPI number1932312212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Defazio — Owner · (262) 654-0487
NPI enumeratedMay 7, 2007
Last updated in NPPESAugust 11, 2011
Mailing address3601 30th Ave Ste 102, Kenosha, WI 53144-1642

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