NPIMap

Organization Active NPI

Willowglen Academy-Wisconsin, Inc.

Doing business as Howard Jansen Learning Center

  • Community/Behavioral Health Agency
  • Sheboygan, WI
National Provider Identifier
1891935912
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WILLOWGLEN ACADEMY-WISCONSIN, INC.
Doing business as
Howard Jansen Learning Center
Practice address
W1236 County Highway FF
Sheboygan, WI 53083-5138
Phone
(920) 565-2607
NPI assigned
Mar 2, 2009
Organization subpart
Yes
Parent organization
PHOENIX CARE SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Mrs. Sara Sandee, MS
Title
Director of Residential Services
Phone
(414) 527-6970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

W1236 County Highway FF
Sheboygan, WI 53083-5138

Mailing address

W1236 County Highway FF
Sheboygan, WI 53083-5138
Phone (920) 565-2607

Other names 1

  • Howard Jansen Learning Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Willowglen Academy Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

W1236 Highway FF
Sheboygan, WI 53083
Phone (920) 565-2607

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1891935912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W1236 COUNTY HIGHWAY FF",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530835138",
            "telephone_number": "920-565-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W1236 COUNTY HIGHWAY FF",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530835138",
            "telephone_number": "920-565-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWGLEN ACADEMY-WISCONSIN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX CARE SYSTEMS, INC.",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "SANDEE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DIRECTOR OF RESIDENTIAL SERVICES",
        "authorized_official_telephone_number": "414-527-6970",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard Jansen Learning Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.