Kids Discover Success Therapeutics, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2064 Issued in WI

Legal business name

KIDS DISCOVER SUCCESS THERAPEUTICS, LLC

Practice address

9240 N 60TH St
Brown Deer, WI 53223-1502

Phone

(414) 303-4505

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Deborah A Buchanan, MS, OTR

Title

Owner/Practitioner

Phone

(414) 303-4505

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1376942557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 N 60TH ST",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532231502",
            "telephone_number": "414-303-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 N 60TH ST",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532231502",
            "telephone_number": "414-303-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DISCOVER SUCCESS THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "414-303-4505",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, OTR"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine D Rhyme
• Sara Kelly, MSW, APSW
• Caylee Kennedy
• Ryan Jeffrey Kesler, PHARMD
• KH Rhodes to Wellness, LLC
• Soo-in Kim
• Stacey King, LPC IT
• Robert Michael Kitsis, M.D.
• John Michael Kittelson, MSW, CAPSW
• Natalie Marie Klas, LMFT

• Community/Behavioral Health Agency in Brown Deer, WI
• Providers in Brown Deer, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.