Family Resources

Primary specialty

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

License

2581 Issued in WI

Legal business name

FAMILY RESOURCES

Practice address

165 N Central Ave
Suite 302,
Richland Center, WI 53581-2253

Phone

(608) 647-5076

Fax

(608) 647-8444

NPI assigned

May 12, 2008

Last updated

May 12, 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

Ms. Roberta Bell, MSSW, LCSW

Title

Director

Phone

(608) 647-5076

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1871760504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N CENTRAL AVE",
            "address_2": "PO BOX 467",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812253",
            "telephone_number": "608-647-5076",
            "fax_number": "608-647-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N CENTRAL AVE",
            "address_2": "SUITE 302,",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812253",
            "telephone_number": "608-647-5076",
            "fax_number": "608-647-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-647-5076",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "2581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42240300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40929900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Robert A Ewart, DO
• Allison Gail Ewing
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• Fillyaw Hill Adult Family Home (Terry L. Fillyaw)
• Gerald Kenneth Fleer, MD
• Claire Justine Fletcher, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Richland Center, WI
• Providers in Richland Center, 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 May 12, 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.