Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr
Addiction (Substance Use Disorder) - Psychology Clinic
3601 30th Ave Ste 102, Kenosha
Wisconsin, 53144-1642
262-654-0487 262-654-2434
Maps & DirectionsPsychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr is a Addiction (Substance Use Disorder) - Psychology Clinic in Kenosha, Wisconsin. It is located at 3601 30th Ave Ste 102, Kenosha, WI and its contact number is 262-654-0487. The authorized person for Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr is Paul M Defazio
who is Owner of the clinic and his/her contact number is 262-654-0487.
Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr Clinic help patients to develop ways to cope with their drug cravings. Also, they suggest strategies to avoid drugs and prevent relapse, and offer suggestions on how to deal with a relapse if it occurs. Psychologists make patients more aware of their feelings, thoughts and teach them different ways to deal with their problems.
Complete Clinic Profile:
Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr |
| Specialization: | Addiction (Substance Use Disorder) Psychology |
| Clinic Address: | 3601 30th Ave Ste 102, Kenosha, Wisconsin, 53144-1642 |
| Phone: | 262-654-0487 |
| Fax: | 262-654-2434 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Paul M Defazio |
| Position: | Owner |
| Contact Number: | 262-654-0487 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr clinic are as mentioned below.
| NPI Number: | 1932312212 |
| NPI Enumeration Date: | 07 May, 2007 |
| NPI Last Update On: | 11 Aug, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr are as mentioned below.
| Specialization | License Number | State | Status | |
| Addiction (Substance Use Disorder) | | | Primary | |
| Addiction (Substance Use Disorder) | | | Secondary | |
| Addiction Medicine | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 42124700 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr 3601 30th Ave Ste 102, Kenosha, Wisconsin |
| Zip: | 53144-1642 |
| Phone Number: | 262-654-0487 |
| Fax Number: | 262-654-2434 |
Patients can reach Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr at
3601 30th Ave Ste 102, Kenosha, Wisconsin or can
call to book an appointment on 262-654-0487.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.