Interact Centers of Wisconsin Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

INTERACT CENTERS OF WISCONSIN INC

Practice address

903 Boyce Dr
Rhinelander, WI 54501-3836

Phone

(844) 468-7228

Fax

(715) 598-6175

NPI assigned

Dec 7, 2015

Organization subpart

No

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

Authorized official

Name

Don Sidlowski

Title

Coo

Phone

(844) 468-7228

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1922473693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545010555",
            "telephone_number": "844-468-7228",
            "fax_number": "715-598-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BOYCE DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013836",
            "telephone_number": "844-468-7228",
            "fax_number": "715-598-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACT CENTERS OF WISCONSIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "SIDLOWSKI",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "844-468-7228"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.