Burkwood, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BURKWOOD, INC.

Practice address

615 Old Mill Rd
Hudson, WI 54016-6959

Phone

(715) 386-6125

Fax

(715) 386-8775

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Lisetta Blaisdell

Title

Secretary

Phone

(715) 386-6125

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356412506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 OLD MILL RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540166959",
            "telephone_number": "715-386-6125",
            "fax_number": "715-386-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 OLD MILL RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540166959",
            "telephone_number": "715-386-6125",
            "fax_number": "715-386-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKWOOD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAISDELL",
        "authorized_official_first_name": "LISETTA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "715-386-6125"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Buege
• Anthony Buerger, PHARM.D.
• Building Blocks Therapy Nook LLC
• Kristina Burk, ATC
• Sarah Burke, M.D.
• Leah A Burton, PSY.D., L.P.
• Lauren Mae Butterbaugh, MOT
• Dana Marie Butterbrodt, MSN, FNP-C, APNP
• Kyra Caauwe
• Shelly Lynn Callais-Odell

• Substance Abuse Rehabilitation Facility in Hudson, WI
• Providers in Hudson, WI by specialty
• Substance Abuse Rehabilitation Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.