| Om Behavioral Health, Inc | |
|
12630 W North Ave Ste 1b Brookfield WI 53005-4626 | |
| (262) 646-0021 | |
| (262) 395-4061 |
| Full Name | Om Behavioral Health, Inc |
|---|---|
| Speciality | Preventive Medicine |
| Location | 12630 W North Ave Ste 1b, Brookfield, Wisconsin |
| Authorized Official Name and Position | Yoganand Gundamraj (PRESIDENT & CEO) |
| Authorized Official Contact | 2623917791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Om Behavioral Health, Inc 12630 W North Ave Ste 1b Brookfield WI 53005-4626 Ph: (262) 646-0021 | Om Behavioral Health, Inc 12630 W North Ave Ste 1b Brookfield WI 53005-4626 Ph: (262) 646-0021 |
| NPI Number | 1700753746 |
|---|---|
| Provider Enumeration Date | 10/23/2025 |
| Last Update Date | 08/22/2026 |
| Certification Date | 08/22/2026 |
| Medicare PECOS PAC ID | 7315433984 |
|---|---|
| Medicare Enrollment ID | O20260102002603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700753746 | NPI | - | NPPES |
| Provider Name | Yoganand Gundamraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104859370 PECOS PAC ID: 5890716096 Enrollment ID: I20051215000617 |
Douglas Lloyd Brown, M.D., S.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17160 W North Ave Ste 202, Brookfield, WI 53005 Phone: 262-797-6770 Fax: 262-797-6772 |
Lorelle M Manion, MD, SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 N Barker Rd, Suite 1, Brookfield, WI 53045 Phone: 262-784-3200 Fax: 262-784-8198 |
Moov-wisconsin S.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17110 W Greenfield Ave Ste 6, Brookfield, WI 53005 Phone: 262-277-1018 |
Towne Centre Medical, S.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19035 W Capitol Dr, Suite 101, Brookfield, WI 53045 Phone: 262-754-1421 Fax: 262-754-3760 |
Christian Family Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16535 W Bluemound Rd, Suite 305, Brookfield, WI 53005 Phone: 800-438-1772 Fax: 262-293-9737 |
Elmbrook Internal Medicine Associates S.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17000 W North Ave, Suite 200e, Brookfield, WI 53005 Phone: 262-782-4270 Fax: 262-784-9319 |