Active NPI
Kaleidoscope Collaborative Care
- Specialist
- Sun Prairie, WI
National Provider Identifier
1255242616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- KALEIDOSCOPE COLLABORATIVE CARE
- Practice address
- 1266 W. Main Suite 2
Sun Prairie, WI 53590 - Phone
- (608) 318-2800
- NPI assigned
- Sep 15, 2026
- Organization subpart
- Yes
- Parent organization
- PRIMAL AIR, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shirley Gutkowski, RDH
- Title
- Owner
- Phone
- (608) 213-5865
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1266 W. Main Suite 2
Sun Prairie, WI 53590
Mailing address
1266 W. Main Suite 2
Sun Prairie, WI 53590
Phone (608) 318-2800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789430400000",
"number": "1255242616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1266 W. MAIN SUITE 2",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "53590",
"telephone_number": "608-318-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1266 W. MAIN SUITE 2",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "53590",
"telephone_number": "608-318-2800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALEIDOSCOPE COLLABORATIVE CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRIMAL AIR, LLC",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"status": "A",
"authorized_official_last_name": "GUTKOWSKI",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-213-5865",
"authorized_official_credential": "RDH"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.