Provider Demographics
NPI:1154365971
Name:ACHIEVEMENT ASSOCIATES, LTD
Entity type:Organization
Organization Name:ACHIEVEMENT ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORSHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:262-241-5099
Mailing Address - Street 1:1317 W TOWNE SQUARE RD
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-5017
Mailing Address - Country:US
Mailing Address - Phone:262-241-5099
Mailing Address - Fax:
Practice Address - Street 1:1317 W TOWNE SQUARE RD
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-5017
Practice Address - Country:US
Practice Address - Phone:262-241-5099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42162600Medicaid
WI84537Medicare ID - Type UnspecifiedOZAUKEE COUNTY
WI42162600Medicaid