Children'S Theater of Madison

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CHILDREN'S THEATER OF MADISON

Practice address

228 State St
Madison, WI 53703-5020

Phone

(608) 255-2080

NPI assigned

Jun 11, 2019

Organization subpart

No

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

Authorized official

Name

Nichole Clarke

Title

Education Manager

Phone

(608) 255-2080

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1750940904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 STATE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537035020",
            "telephone_number": "608-255-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 STATE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537035020",
            "telephone_number": "608-255-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THEATER OF MADISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "EDUCATION MANAGER",
        "authorized_official_telephone_number": "608-255-2080"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "registrar@ctmtheater.org",
            "affiliation": "N",
            "endpointDescription": "e-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "228 State St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537035020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Catherine Chien, RN
• Child & Family Psychological Services Clinic
• Heather A Childers-Okas, DO
• Children'S Dental Center of Madison, S.C.
• Children'S Service Society of Wisconsin
• Children'S Therapy Network
• Sarah J Childress, AUD
• Andrea Chiles
• Rachel Chilson
• Krista L Chin, PA-C

• Local Education Agency (LEA) in Madison, WI
• Providers in Madison, WI by specialty
• Local Education Agency (LEA) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.