Wallace CCSD 195

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

WALLACE CCSD 195

Practice address

1463 N 33Rd Rd
Ottawa, IL 61350-9622

Phone

(815) 433-2986

Fax

(815) 433-2322

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Michael David Matteson, ED.S.

Title

Superintendent

Phone

(815) 433-2986

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Staci Marie McFarlane, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Batavia, IL
  • NPI 1477067510
  NPD (past)

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1548448657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 N 33RD RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509622",
            "telephone_number": "815-433-2986",
            "fax_number": "815-433-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 N 33RD RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509622",
            "telephone_number": "815-433-2986",
            "fax_number": "815-433-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLACE CCSD 195",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "MATTESON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "815-433-2986",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED.S."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vyas Harshavadan J MD
• Harshavadan J Vyas, M.D.
• Wal-Mart Stores, Inc
• Catherine J Walden
• Walgreen Co
• Walmart Inc.
• Walsh Psychiatric Services
• Kristen Leigh Wampler, DPT
• Jodi Washkowiak
• Wendy Sanders-Maubach,O.D., P.C.

• Local Education Agency (LEA) in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Local Education Agency (LEA) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.