NPIMap

Organization Active NPI

Norris Adolescent Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Mukwonago, WI
National Provider Identifier
1235304056
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
265004 Issued in WI
Legal business name
NORRIS ADOLESCENT CENTER
Practice address
W247S10395 Center Dr
Mukwonago, WI 53149-9166
Phone
(262) 662-5900
Fax
(262) 662-5688
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Mr. Donald Stewart Harris, MSW
Title
Executive Director
Phone
(262) 662-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 265004 WI Primary

Addresses

Primary practice location

W247S10395 Center Dr
Mukwonago, WI 53149-9166

Mailing address

W247S10395 Center Dr
Mukwonago, WI 53149-9166
Phone (262) 662-5900

National Provider Directory

National Provider Directory
Tax ID family
Norris Adolescent Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1235304056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W247S10395 CENTER DR",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499166",
            "telephone_number": "262-662-5900",
            "fax_number": "262-662-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W247S10395 CENTER DR",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499166",
            "telephone_number": "262-662-5900",
            "fax_number": "262-662-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORRIS ADOLESCENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "12626625900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WI",
            "license": "265004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukwonago, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.