NPIMap

Organization Active NPI

Attic Correctional Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Appleton, WI
National Provider Identifier
1013052299
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2608 Issued in WI
Legal business name
ATTIC CORRECTIONAL SERVICES INC.
Practice address
720 W Washington St
Appleton, WI 54914-3805
Phone
(920) 830-1750
Fax
(920) 830-1770
NPI assigned
Feb 21, 2007
Last updated
Sep 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark E WakefieldNPI 1568617702
Title
Development & Quality Assurance Off
Phone
(608) 223-0017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2608 WI Primary

Addresses

Primary practice location

720 W Washington St
Appleton, WI 54914-3805

Mailing address

PO Box 7370
Madison, WI 53707-7370
Phone (608) 223-0017

Other names 1

  • ACS Clinical Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Attic Correctional Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

720 W Washington St
Appleton, WI 54914
Phone (920) 830-1750

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1013052299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7370",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537077370",
            "telephone_number": "608-223-0017",
            "fax_number": "608-223-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W WASHINGTON ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143805",
            "telephone_number": "920-830-1750",
            "fax_number": "920-830-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTIC CORRECTIONAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DEVELOPMENT & QUALITY ASSURANCE OFF",
        "authorized_official_telephone_number": "608-223-0017"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "2608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACS Clinical Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.