Active NPI
Educates
- Developmentally Disabled Services Day Training Agency
- Mequon, WI
National Provider Identifier
1306620323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- EDUCATES
- Practice address
- 1317 W Towne Square Rd
Mequon, WI 53092-5017 - Phone
- (414) 687-4856
- NPI assigned
- Aug 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa Sarah Gendelman
- Title
- President
- Phone
- (414) 687-4856
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
1317 W Towne Square Rd
Mequon, WI 53092-5017
Mailing address
10451 N Stratford PL
Mequon, WI 53092-5554
Phone (414) 687-4856
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692576000000",
"number": "1306620323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10451 N STRATFORD PL",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925554",
"telephone_number": "414-687-4856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 W TOWNE SQUARE RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925017",
"telephone_number": "414-687-4856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDUCATES",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A",
"authorized_official_last_name": "GENDELMAN",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "SARAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-687-4856",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.