Organization Active NPI

Goodwill Industries of South Central Wisconsin

  • Developmentally Disabled Services Day Training Agency
  • Madison, WI
National Provider Identifier
1275421604
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GOODWILL INDUSTRIES OF SOUTH CENTRAL WISCONSIN
Practice address
1302 Mendota St
Madison, WI 53714-1059
Phone
(608) 246-3140
NPI assigned
Jun 25, 2025
Last updated
Jun 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Brad Paul
Title
Director of Mission
Phone
(608) 246-3140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1302 Mendota St
Madison, WI 53714-1059

Mailing address

1302 Mendota St
Madison, WI 53714-1059
Phone (608) 246-3140

National Provider Directory

National Provider Directory

Locations

1302 Mendota St
Madison, WI 53714
Phone (608) 246-3140

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1275421604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 MENDOTA ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141059",
            "telephone_number": "608-246-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 MENDOTA ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141059",
            "telephone_number": "608-246-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF SOUTH CENTRAL WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "DIRECTOR OF MISSION",
        "authorized_official_telephone_number": "608-246-3140"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.