NPIMap

Organization Active NPI

Milwaukee Academy

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Wauwatosa, WI
National Provider Identifier
1508033770
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
MILWAUKEE ACADEMY
Practice address
9501 W Watertown Plank Rd
Wauwatosa, WI 53226-3552
Phone
(414) 257-3141
Fax
(414) 257-3151
NPI assigned
May 15, 2008
Organization subpart
Yes
Parent organization
CLINICARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Ms. Dana K Dorn, LCSW
Title
Director
Phone
(414) 257-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

9501 W Watertown Plank Rd
Wauwatosa, WI 53226-3552

Mailing address

9501 W Watertown Plank Rd
Wauwatosa, WI 53226-3552
Phone (414) 257-3141

Other identifiers 1

IdentifierTypeStateIssuer
42236100MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Milwaukee Academy4 organizations share this tax ID, including this one
Part of
Clinicare Corporation - Milwaukee Academy

Other organizations with this tax ID 3

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": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1508033770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 W WATERTOWN PLANK RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263552",
            "telephone_number": "414-257-3141",
            "fax_number": "414-257-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 W WATERTOWN PLANK RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263552",
            "telephone_number": "414-257-3141",
            "fax_number": "414-257-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE ACADEMY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINICARE CORPORATION",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-257-3141",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42236100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.