University Lake School Inc

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Legal business name

UNIVERSITY LAKE SCHOOL INC

Practice address

4024 Nagawicka Rd
Hartland, WI 53029-9363

Phone

(262) 501-3255

Fax

(262) 214-0157

NPI assigned

Nov 18, 2025

Organization subpart

No

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

Authorized official

Name

Melissa Benson

Title

Cfo

Phone

(262) 367-6011

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1386504686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 NAGAWICKA RD",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530299363",
            "telephone_number": "262-501-3255",
            "fax_number": "262-214-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 NAGAWICKA RD",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530299363",
            "telephone_number": "262-501-3255",
            "fax_number": "262-214-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY LAKE SCHOOL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "262-367-6011"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sameera Syeda
• Wiaam Taha, M.D.
• Abby Tanner, APNP
• Elizabeth Thao, MSW, LCSW
• Molly Trimble
• Michael M. Uy, M.D.
• Village of Hartland
• Michael Jon Vitense, DDS
• Walgreen Co
• Traci Wall, D.C.

• School Psychologist in Hartland, WI
• Providers in Hartland, WI by specialty
• School Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.