Organization Active NPI

Child and Family Consultants

  • Adolescent and Children Mental Health Clinic/Center
  • Green Bay, WI
National Provider Identifier
1063693273
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
40554-020 Issued in WI
Legal business name
CHILD AND FAMILY CONSULTANTS
Practice address
840 Willard Dr
Suite 201
Green Bay, WI 54304-5204
Phone
(920) 497-0788
Fax
(920) 497-0792
NPI assigned
Nov 15, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Cheryl Kay Rotherham, M.S.NPI 1578617502
Title
Owner/Therapist/President
Phone
(920) 497-0788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 40554-020 WI Primary

Addresses

Primary practice location

840 Willard Dr
Suite 201
Green Bay, WI 54304-5204

Mailing address

840 Willard Dr
Suite 201
Green Bay, WI 54304-5204
Phone (920) 497-0788

National Provider Directory

National Provider Directory

Locations

840 Willard Dr
Green Bay, WI 54304
Phone (920) 497-0788

840 Willard Dr
Ste 201
Green Bay, WI 54304
Phone (920) 497-0722

Practitioners & affiliated clinicians

Practitioners 4

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1063693273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WILLARD DR",
            "address_2": "SUITE 201",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045204",
            "telephone_number": "920-497-0788",
            "fax_number": "920-497-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WILLARD DR",
            "address_2": "SUITE 201",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045204",
            "telephone_number": "920-497-0788",
            "fax_number": "920-497-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "ROTHERHAM",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "920-497-0788",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WI",
            "license": "40554-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.