NPIMap

Organization Active NPI

St Charles Youth & Family Services Inc

  • Community/Behavioral Health Agency
  • Milwaukee, WI
National Provider Identifier
1033384391
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1322 Issued in WI
Legal business name
ST CHARLES YOUTH & FAMILY SERVICES INC
Practice address
4757 N 76TH St
Milwaukee, WI 53218-4732
Phone
(414) 476-3710
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Ms. Catherine Connolly
Title
President
Phone
(414) 476-3710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1322 WI Primary

Addresses

Primary practice location

4757 N 76TH St
Milwaukee, WI 53218-4732

Mailing address

4757 N 76TH St
Milwaukee, WI 53218-4732
Phone (414) 476-3710

Other identifiers 1

IdentifierTypeStateIssuer
42178600MedicaidWI

Other names 1

  • Family Development Center Other name

National Provider Directory

National Provider Directory
Tax ID family
St Charles Youth Family Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1033384391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184732",
            "telephone_number": "414-476-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4757 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184732",
            "telephone_number": "414-476-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CHARLES YOUTH & FAMILY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-476-3710",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42178600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Development Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.