Superior Douglas County Family YMCA

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

SUPERIOR DOUGLAS COUNTY FAMILY YMCA

Practice address

9 N 21St St
Superior, WI 54880-5201

Phone

(715) 392-5611

NPI assigned

Mar 1, 2018

Last updated

Mar 1, 2018By 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

Mr. Christopher Stenberg

Title

Ceo

Phone

(715) 392-5611

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Rachel Christy

  • Health Educator
  • Superior, WI
  • NPI 1003304239
  NPD (past)
• Sarah Dillon

  • Health Educator
  • Superior, WI
  • NPI 1932697281
  NPD (past)
• Tammy Newberry

  • Health Educator
  • Superior, WI
  • NPI 1801384359
  NPD (past)
• Jennifer Rosnau

  • Health Educator
  • Superior, WI
  • NPI 1578051702
  NPD (past)

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1346742764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N 21ST ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805201",
            "telephone_number": "715-392-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N 21ST ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805201",
            "telephone_number": "715-392-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR DOUGLAS COUNTY FAMILY YMCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "STENBERG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-392-5611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moriah Ann Stutsman
• Alana Sullivan, MA, CCC-SLP
• Superior Behavioral Services
• Superior Behavioral Services
• Superior Chiropractic and Wellness LLC
• Superior Family Dentistry, SC (Superior Family Dentistry)
• Superior Helping Hands, LLC
• Superior Learning Academy Inc
• Superior Ops, LLC (Lighthouse of Superior)
• Superior Optics Inc.

• Voluntary or Charitable Agency in Superior, WI
• Providers in Superior, 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 Mar 1, 2018; 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.