Academy of Learning and Leadership

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

ACADEMY OF LEARNING AND LEADERSHIP

Practice address

1530 W Center St
Milwaukee, WI 53206-2101

Phone

(414) 372-3942

Fax

(414) 372-8260

NPI assigned

Apr 14, 2008

Last updated

Apr 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. M. Camille Mortimore, PH.D

Title

Executive Director

Phone

(414) 372-3942

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1609040351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 W CENTER ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532062101",
            "telephone_number": "414-372-3942",
            "fax_number": "414-372-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 W CENTER ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532062101",
            "telephone_number": "414-372-3942",
            "fax_number": "414-372-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY OF LEARNING AND LEADERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "MORTIMORE",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-372-3942",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44241900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Student Health Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Student Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.