Willowglen Academy-Wisconsin, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

1001570 Issued in WI

Legal business name

WILLOWGLEN ACADEMY-WISCONSIN, INC.

Practice address

1111 Reed St
Plymouth, WI 53073-2506

Phone

(920) 565-6004

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Sara Sandee

Title

Director Residential Services

Phone

(414) 527-6970

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Brittany Marie Freund, MSW

  • Case Manager/Care Coordinator
  • Plymouth, WI
  • NPI 1386070373
  NPD (past)
• Donald Murphy

  • Social Worker
  • Plymouth, WI
  • NPI 1932307584
  NPD (past)
• Tammy Marie Thill, CSW

  • Social Worker
  • Plymouth, WI
  • NPI 1740489509
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1669670477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 REED ST",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530732506",
            "telephone_number": "920-565-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 REED ST",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530732506",
            "telephone_number": "920-565-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWGLEN ACADEMY-WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "SANDEE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DIRECTOR RESIDENTIAL SERVICES",
        "authorized_official_telephone_number": "414-527-6970"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WI",
            "license": "1001570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah A Wegner, PT
• Joseph P White, DDS
• Bradley J Wicklund, O.D.
• Corinne Beiersdorf Wicklund, OD
• Lynnett M Wilderman, PA-C
• Willowglen Hein Foster Care Group Home
• Lindsey Wolf, DPT
• Constance Lee Woythal, PSYD
• Cheryl L. Ziegler, O.D.
• Timothy J Ziegler, O.D.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Plymouth, WI
• Providers in Plymouth, WI by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.