Organization Active NPI

Educates

  • Developmentally Disabled Services Day Training Agency
  • Mequon, WI
National Provider Identifier
1306620323
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on Aug 21, 2023

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)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.