NPIMap

Organization Active NPI

St. Aemilian-Lakeside, Inc.

  • Community/Behavioral Health Agency
  • Milwaukee, WI
National Provider Identifier
1164553434
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2834703 Issued in WI
Legal business name
ST. AEMILIAN-LAKESIDE, INC.
Practice address
8901 W Capitol Dr
Milwaukee, WI 53222-1706
Phone
(414) 463-1800
Fax
(414) 465-5783
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Mrs. Teri Zywicki-Nelson
Title
Ceo
Phone
(414) 463-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2834703 WI Primary

Addresses

Primary practice location

8901 W Capitol Dr
Milwaukee, WI 53222-1706

Mailing address

8901 W Capitol Dr
Milwaukee, WI 53222-1706
Phone (414) 463-1800

Other identifiers 1

IdentifierTypeStateIssuer
42109400MedicaidWI

Other names 1

  • Solutions Therapy Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saint a5 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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1164553434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221706",
            "telephone_number": "414-463-1800",
            "fax_number": "414-465-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221706",
            "telephone_number": "414-463-1800",
            "fax_number": "414-465-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. AEMILIAN-LAKESIDE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "ZYWICKI-NELSON",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-463-1800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2834703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42109400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solutions Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 9, 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.