Autism Society of Southeastern Wisconsin

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

AUTISM SOCIETY OF SOUTHEASTERN WISCONSIN

Practice address

3720 N 124TH St Ste O
Wauwatosa, WI 53222-2100

Phone

(414) 988-1260

NPI assigned

Nov 30, 2023

Last updated

Dec 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Wagner

Title

Office Manager

Phone

(414) 988-1261

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1336915370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 N 124TH ST STE O",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222100",
            "telephone_number": "414-988-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 N 124TH ST STE O",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222100",
            "telephone_number": "414-988-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SOCIETY OF SOUTHEASTERN WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "414-988-1261"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Voluntary or Charitable Agency in Wisconsin

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