NPIMap

Organization Active NPI

Production Farm, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Whitelaw, WI
National Provider Identifier
1306460126
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PRODUCTION FARM, INC.
Practice address
9003 Polifka Rd
Whitelaw, WI 54247-9782
Phone
(920) 403-0021
NPI assigned
Jun 8, 2020
Last updated
Aug 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Muse Patrick Seymour
Title
Managing Director & Cfo
Phone
(920) 288-1965

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU
Occupational Therapist 225X00000X NU
Case Management Agency 251B00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

9003 Polifka Rd
Whitelaw, WI 54247-9782

Mailing address

2668 Stonegate Dr
Suamico, WI 54313-8123

Other names 1

  • The Production Farm, Inc Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@theproductionfarm.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240717000941 WI Part B Supplier - Clinic/Group Practice 6406391200 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Sheboygan Falls, WI; Whitelaw, WI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Production Farm Inc2 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 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1306460126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 STONEGATE DR",
            "city": "SUAMICO",
            "state": "WI",
            "postal_code": "543138123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 POLIFKA RD",
            "city": "WHITELAW",
            "state": "WI",
            "postal_code": "542479782",
            "telephone_number": "920-403-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODUCTION FARM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "SEYMOUR",
        "authorized_official_first_name": "MUSE",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGING DIRECTOR & CFO",
        "authorized_official_telephone_number": "920-288-1965"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@theproductionfarm.org",
            "affiliation": "N",
            "address_1": "9003 Polifka Rd",
            "city": "Whitelaw",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542479782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Production Farm, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whitelaw, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.