NPIMap

Organization Active NPI

Integrated Developmental Services, Inc

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1528025954
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INTEGRATED DEVELOPMENTAL SERVICES, INC
Practice address
559 Zor Shrine Place
Madison, WI 53719
Phone
(608) 441-0123
Fax
(608) 441-0126
NPI assigned
Apr 28, 2006
Last updated
Dec 24, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CARAVEL AUTISM HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Authorized official

Name
Heidi Lee Morago
Title
Credentialing Specialist
Phone
(509) 954-9128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X WI Primary

Addresses

Primary practice location

559 Zor Shrine Place
Madison, WI 53719

Mailing address

1575 Allouez Ave
Green Bay, WI 54311-5639
Phone (920) 857-9041

Other practice location 1

559 Zor Shrine Pl
Madison, WI 53719-2068
Phone (608) 833-0123

Other practice location 2

4125 N 124th St Ste Aandb
Brookfield, WI 53005-1837
Phone (414) 736-2341

Other practice location 3

1477 S Knowles Ave Ste 105
New Richmond, WI 54017-2543
Phone (715) 246-9762

Other practice location 4

4330 Golf Ter Ste 218
Eau Claire, WI 54701-4688
Phone (715) 246-9762

Other practice location 5

5000 W Ashland Way
Franklin, WI 53132-8177
Phone (414) 367-2710

National Provider Directory

National Provider Directory
Part of
Caravel Autism Health LLC

Locations

4125 N 124th St
Brookfield, WI 53005
Phone (262) 790-4500

4330 Golf Ter
Ste 218
Eau Claire, WI 54701
Phone (608) 709-9141

5000 W Ashland Way
Franklin, WI 53132
Phone (262) 893-9766

1575 Allouez Ave
Green Bay, WI 54311
Phone (262) 737-8883

559 Zor Shrine Pl
Madison, WI 53719
Phone (608) 441-0123

1477 S Knowles Ave
Ste 105
New Richmond, WI 54017
Phone (715) 246-9762

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1528025954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 ALLOUEZ AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115639",
            "telephone_number": "920-857-9041",
            "fax_number": "920-857-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 ZOR SHRINE PLACE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53719",
            "telephone_number": "608-441-0123",
            "fax_number": "608-441-0126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "559 Zor Shrine Pl",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537192068",
            "country_code": "US",
            "telephone_number": "608-833-0123",
            "fax_number": "920-857-3366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4125 N 124th St Ste Aandb",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530051837",
            "country_code": "US",
            "telephone_number": "414-736-2341",
            "fax_number": "920-857-3366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1477 S Knowles Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540172543",
            "country_code": "US",
            "telephone_number": "715-246-9762",
            "fax_number": "920-857-3366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4330 Golf Ter Ste 218",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547014688",
            "country_code": "US",
            "telephone_number": "715-246-9762",
            "fax_number": "920-857-3366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 W Ashland Way",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531328177",
            "country_code": "US",
            "telephone_number": "414-367-2710",
            "fax_number": "920-857-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED DEVELOPMENTAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARAVEL AUTISM HEALTH, LLC",
        "enumeration_date": "2006-04-28",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A",
        "authorized_official_last_name": "MORAGO",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "509-954-9128"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.