NPIMap

Organization Active NPI

Willowglen Academy-Wisconsin, Inc.

  • Community/Behavioral Health Agency
  • Milwaukee, WI
National Provider Identifier
1598082729
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
67227-30 Issued in WI
Legal business name
WILLOWGLEN ACADEMY-WISCONSIN, INC.
Practice address
5151 W Silver Spring Dr
Milwaukee, WI 53218-3300
Phone
(414) 527-6970
Fax
(414) 527-6941
NPI assigned
Apr 28, 2010
Organization subpart
Yes
Parent organization
PHOENIX CARE SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Ms. Paula A. Lucey, MSN, RN
Title
Executive Director
Phone
(414) 527-6970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 67227-30 WI Primary

Addresses

Primary practice location

5151 W Silver Spring Dr
Milwaukee, WI 53218-3300

Mailing address

5151 W Silver Spring Dr
Milwaukee, WI 53218-3300
Phone (414) 527-6970

National Provider Directory

National Provider Directory
Tax ID family
Willowglen Academy Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1598082729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 W SILVER SPRING DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532183300",
            "telephone_number": "414-527-6970",
            "fax_number": "414-527-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 W SILVER SPRING DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532183300",
            "telephone_number": "414-527-6970",
            "fax_number": "414-527-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWGLEN ACADEMY-WISCONSIN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX CARE SYSTEMS, INC.",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "LUCEY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-527-6970",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "67227-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.