Team Discoery

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

12606 Issued in WI

Legal business name

TEAM DISCOERY

Practice address

2178 N 74TH St
Wauwatosa, WI 53213-1702

Phone

(414) 467-2255

Fax

(262) 252-4214

NPI assigned

Jan 20, 2009

Organization subpart

No

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

Authorized official

Name

Laurence Trimble

Title

Administrator

Phone

(414) 467-2255

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1184861635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W130N6650 NORTHFIELD DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530510515",
            "telephone_number": "414-467-2255",
            "fax_number": "262-252-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 N 74TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131702",
            "telephone_number": "414-467-2255",
            "fax_number": "262-252-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM DISCOERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "TRIMBLE",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-467-2255"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "WI",
            "license": "12617",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "WI",
            "license": "12606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Ann Tatnall, RN CHPN
• Amy Susan Taylor, LCSW
• Brandon Taylor
• Erin E Taylor, AA
• Vicki Lynn Taylor
• Zachary Jon Telfer, MD
• Lynn S Telford, MD
• Russell G Temme, MD
• Jack R Tenge, MD
• Julia Terasa, OTR

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.