NPIMap

Organization Active NPI

St. Charles Youth & Family Services, Inc.

  • Case Management Agency
  • Milwaukee, WI
National Provider Identifier
1316113772
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
43003200 Issued in WI
Legal business name
ST. CHARLES YOUTH & FAMILY SERVICES, INC.
Practice address
4757 N 76TH St
Milwaukee, WI 53218-4732
Phone
(414) 476-3710
Fax
(414) 358-5001
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Catherine Connolly
Title
President
Phone
(414) 476-3170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 43003200 WI Primary

Addresses

Primary practice location

4757 N 76TH St
Milwaukee, WI 53218-4732

Mailing address

4757 N 76TH St
Milwaukee, WI 53218-4732
Phone (414) 476-3710

Other identifiers 1

IdentifierTypeStateIssuer
43003200MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
St Charles Youth Family Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1316113772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184732",
            "telephone_number": "414-476-3710",
            "fax_number": "414-358-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4757 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184732",
            "telephone_number": "414-476-3710",
            "fax_number": "414-358-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES YOUTH & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-476-3170"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": "43003200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43003200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.