Organization Active NPI

Pastoral & Family Therapy Services

  • Community/Behavioral Health Agency
  • Whitewater, WI
National Provider Identifier
1992957914
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2876-125 Issued in WI
Legal business name
PASTORAL & FAMILY THERAPY SERVICES
Practice address
162 W Main St
Suite G
Whitewater, WI 53190-1995
Phone
(262) 473-5005
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Dr. Donald Michael Norman, PH.D., LPC, LMFTNPI 1104918507
Title
Owner
Phone
(262) 473-5005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2876-125 WI Primary
Community/Behavioral Health Agency 251S00000X 653-124 WI

Addresses

Primary practice location

162 W Main St
Suite G
Whitewater, WI 53190-1995

Mailing address

162 W Main St
Suite G
Whitewater, WI 53190-1995
Phone (262) 473-5005

National Provider Directory

National Provider Directory

Locations

162 W Main St
Ste G
Whitewater, WI 53190
Phone (262) 473-5005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1992957914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 W MAIN ST",
            "address_2": "SUITE G",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531901995",
            "telephone_number": "262-473-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 W MAIN ST",
            "address_2": "SUITE G",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531901995",
            "telephone_number": "262-473-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTORAL & FAMILY THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-473-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2876-125",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "653-124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitewater, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.