Delta Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1274 Issued in WI

Legal business name

DELTA CENTER LLC

Practice address

196 E Third Street
Fond Du Lac, WI 54935

Phone

(920) 921-3343

Fax

(920) 921-0989

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Aimee Meyer, MS, LPC

Title

Co Owner/Co Director

Phone

(920) 921-3343

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1669521233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 E THIRD STREET",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-921-3343",
            "fax_number": "920-921-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 E THIRD STREET",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-921-3343",
            "fax_number": "920-921-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "CO OWNER/CO DIRECTOR",
        "authorized_official_telephone_number": "920-921-3343",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "1274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Edward Deer, D.C.
• Jamie S Deering, MD
• Michael W. Degere, DPM
• Julie M Dejong, MD
• Danielle Elizabeth Deleon Thuermer, DAOM, LAC.
• Carol Delwiche, FNP
• Amber Nicole Denell, OD
• Denise R Denslow, OTR
• Dental Assosiates
• Vicki Marie Denzin, PT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.