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Organization Active NPI

Northwest Journey - Wisconsin Rapids Day Treatm

  • Adolescent and Children Mental Health Clinic/Center
  • Wisconsin Rapids, WI
National Provider Identifier
1669599288
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
2291 Issued in WI
Legal business name
NORTHWEST JOURNEY - WISCONSIN RAPIDS DAY TREATM
Practice address
110 24TH St S
Wisconsin Rapids, WI 54494-1906
Phone
(715) 424-5040
Fax
(715) 424-5720
NPI assigned
Mar 26, 2007
Last updated
Sep 23, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST COUNSELING AND GUIDANCE CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Mr. Nick Kalambokidis
Title
Cfo
Phone
(715) 327-4402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 2291 WI Primary

Addresses

Primary practice location

110 24TH St S
Wisconsin Rapids, WI 54494-1906

Mailing address

110 24TH St S
Wisconsin Rapids, WI 54494-1906
Phone (715) 424-5040

National Provider Directory

National Provider Directory
Tax ID family
Northwest Counseling Center22 organizations share this tax ID, including this one
Part of
Northwest Counseling Center

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1669599288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 24TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544941906",
            "telephone_number": "715-424-5040",
            "fax_number": "715-424-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 24TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544941906",
            "telephone_number": "715-424-5040",
            "fax_number": "715-424-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST JOURNEY - WISCONSIN RAPIDS DAY TREATM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST COUNSELING AND GUIDANCE CLINIC",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "KALAMBOKIDIS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "17153274402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WI",
            "license": "2291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.