NPIMap

Organization Active NPI

Clinicare Corporation

Doing business as Wyalusing Academy

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Prairie Du Chien, WI
National Provider Identifier
1104984558
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CLINICARE CORPORATION
Doing business as
Wyalusing Academy
Practice address
601 S Beaumont Rd
Prairie Du Chien, WI 53821-1909
Phone
(608) 326-6481
Fax
(608) 326-6166
NPI assigned
Dec 5, 2006
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Mrs. Mary Beth Specht
Title
Director
Phone
(608) 326-6481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X WI Primary

Addresses

Primary practice location

601 S Beaumont Rd
Prairie Du Chien, WI 53821-1909

Mailing address

601 S Beaumont Rd
PO Box 269
Prairie Du Chien, WI 53821-1909
Phone (608) 326-6481

Other names 1

  • Wyalusing Academy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinicare Corporation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1104984558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S BEAUMONT RD",
            "address_2": "PO BOX 269",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211909",
            "telephone_number": "608-326-6481",
            "fax_number": "608-326-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S BEAUMONT RD",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211909",
            "telephone_number": "608-326-6481",
            "fax_number": "608-326-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "SPECHT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-326-6481",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyalusing Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prairie Du Chien, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.