NPIMap

Organization Active NPI

Sheboygan County Young Men'S Christian Association, Inc.

  • Health Educator
  • Sheboygan, WI
National Provider Identifier
1265989206
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
SHEBOYGAN COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.
Practice address
812 Broughton Dr
Sheboygan, WI 53081-4115
Phone
(920) 451-8000
Fax
(920) 451-8019
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Mrs. Donna Wendlandt
Title
President/Ceo
Phone
(920) 451-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

812 Broughton Dr
Sheboygan, WI 53081-4115

Mailing address

812 Broughton Dr
Sheboygan, WI 53081-4115
Phone (920) 451-8000

National Provider Directory

National Provider Directory

Locations

812 Broughton Dr
Sheboygan, WI 53081
Phone (920) 451-8000

Practitioners & affiliated clinicians

Practitioners 3

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": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1265989206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 BROUGHTON DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814115",
            "telephone_number": "920-451-8000",
            "fax_number": "920-451-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 BROUGHTON DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814115",
            "telephone_number": "920-451-8000",
            "fax_number": "920-451-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEBOYGAN COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "WENDLANDT",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "920-451-8000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.