The Human Service Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE HUMAN SERVICE CENTER

Practice address

705 E Timber Dr
Rhinelander, WI 54501-2859

Phone

(715) 362-7463

Fax

(715) 369-4577

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Ann M Cleereman

Title

Executive Director

Phone

(715) 369-2215

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northwood's Guidance Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Tax ID family

The Human Service Center Koinonia Residential Treatment Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Northwood'S Guidance Center

  • Community/Behavioral Health Agency
  • Rhinelander, WI
  • NPI 1689825374
  NPD tax ID
• The Human Service Center

  • Case Management Agency
  • Rhinelander, WI
  • NPI 1295912475
  NPD tax ID
• The Human Service Center Koinonia Residential Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Rhinelander, WI
  • NPI 1932301306
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Koti R Mannem, MD

  • Psychiatry Physician
  • Green Bay, WI
  • NPI 1720188717
  Medicare reassignment NPD
• Ekaterina Hossny, D.O

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1750776480

  WI

  Medicare reassignment NPD

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1215985403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E TIMBER DR",
            "address_2": "P.O. BOX 897",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012859",
            "telephone_number": "715-362-7463",
            "fax_number": "715-369-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E TIMBER DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012859",
            "telephone_number": "715-362-7463",
            "fax_number": "715-369-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HUMAN SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "CLEEREMAN",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "715-369-2215",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42137800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwood's Guidance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hongjing Tan, MD
• Diane L Tatrow, APNP
• Janet F Tenge, MSW ICSW LMFT CADCII
• Karen Teter, CCCA
• The Country Seed Inc.
• The Human Service Center
• The Human Service Center Koinonia Residential Treatment Center
• The Price Decker Clinic
• The Training Room LLC
• Cheryl Susan Theisen, R.N.

• Community/Behavioral Health Agency in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.