NPIMap

Organization Active NPI

James D Wiedenhoeft Partnership

  • Adolescent and Children Mental Health Clinic/Center
  • Shiocton, WI
National Provider Identifier
1396180261
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
1447-226 Issued in WI
Legal business name
JAMES D WIEDENHOEFT PARTNERSHIP
Practice address
N5367 Mayflower Rd
Shiocton, WI 54170-8934
Phone
(920) 986-3003
Fax
(920) 986-3004
NPI assigned
May 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Authorized official

Name
Miss Ann Dake
Title
Founder/Ceo
Phone
(920) 986-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 1447-226 WI Primary

Addresses

Primary practice location

N5367 Mayflower Rd
Shiocton, WI 54170-8934

Mailing address

N5367 Mayflower Rd
Shiocton, WI 54170-8934
Phone (920) 986-3003

National Provider Directory

National Provider Directory
Tax ID family
James D Wiedenhoeft Partnership2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1396180261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5367 MAYFLOWER RD",
            "city": "SHIOCTON",
            "state": "WI",
            "postal_code": "541708934",
            "telephone_number": "920-986-3003",
            "fax_number": "920-986-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N5367 MAYFLOWER RD",
            "city": "SHIOCTON",
            "state": "WI",
            "postal_code": "541708934",
            "telephone_number": "920-986-3003",
            "fax_number": "920-986-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D WIEDENHOEFT PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "DAKE",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "920-986-3003",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WI",
            "license": "1447-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiocton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.