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Psychiatric & Psychotherapy Clinic L I Newman MD Sc Gen Ptr

Addiction (Substance Use Disorder) Counselor in Kenosha, WI · enumerated 2007 · authorized official Paul Defazio, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1932312212

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Registry record

Entity type Organization (Type 2)
Legal business name Psychiatric & Psychotherapy Clinic L I Newman MD Sc Gen Ptr
Practice address 3601 30th Ave Ste 102, Kenosha, WI, 53144
Fax (262) 654-2434
Enumeration date May 7, 2007
Last updated in NPPES Aug 11, 2011

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Primary
103TA0400X Addiction (Substance Use Disorder) Psychologist Behavioral Health & Social Service Providers Secondary
2084A0401X Addiction Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Paul Defazio
Title Owner

Other identifiers

Identifier Type State Issuer
42124700 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Psychiatric & Psychotherapy Clinic L I Newman MD Sc Gen Ptr located?
The practice location on file with NPPES is in Kenosha, WI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-08-11. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-08-11.