MILWAUKEE ACADEMY (NPI# 1053588228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053588228 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE ACADEMY |
| Practice Address |
9501 W Watertown Plank Rd Wauwatosa WI 53226-3552 |
| Practice Telephone | 4142573141 |
| Practice Fax Number | 4142573151 |
| Mailing Telephone | 4142573141 |
| Mailing Fax Number | 4142573151 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | MS. DANA K DORN (DIRECTOR) |
| Authorized Official Telephone | 4142573141 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | CLINICARECORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41814600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649339813 | Milwaukee Academy | Residential Treatment Facility, Emotionally Disturbed Children | 9501 W Watertown Plank Rd, Wauwatosa, WI 53226-3552 | 2006-12-06 |
| 1508033770 | Milwaukee Academy | Residential Treatment Facility, Emotionally Disturbed Children | 9501 W Watertown Plank Rd, Wauwatosa, WI 53226-3552 | 2008-05-15 |
| 1932372851 | Milwaukee Academy | Residential Treatment Facility, Emotionally Disturbed Children | 9501 W Watertown Plank Rd, Wauwatosa, WI 53226-3552 | 2008-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MILWAUKEE ACADEMY | 11919 W Bluemound Rd Stop 1, Milwaukee, WI 53226-3969 |
| Street Address |
9501 W WATERTOWN PLANK RD |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-3552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649339813 | Milwaukee Academy | Residential Treatment Facility, Emotionally Disturbed Children | 9501 W Watertown Plank Rd, Wauwatosa, WI 53226-3552 | 2006-12-06 |
| 1558609750 | Clinicare Corporation - Milwaukee Academy | Community Based Residential Treatment Facility, Mental Illness | 9501 W Watertown Plank Rd, Wauwatosa, WI 53226-3552 | 2013-01-22 |
| 1508033770 | Milwaukee Academy | Residential Treatment Facility, Emotionally Disturbed Children | 9501 W Watertown Plank Rd, Wauwatosa, WI 53226-3552 | 2008-05-15 |
| 1669648960 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 9501 W Watertown Plank Rd, Wauwatosa, WI 53226-3552 | 2008-05-06 |
| 1932372851 | Milwaukee Academy | Residential Treatment Facility, Emotionally Disturbed Children | 9501 W Watertown Plank Rd, Wauwatosa, WI 53226-3552 | 2008-04-11 |
| 1144493693 | Dana Kay Dorn | Social Worker | 9501 W Watertown Plank Rd, Wauwatosa, WI 53226-3552 | 2008-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346415445 | Carmelite Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1214 Kavanaugh Pl, Wauwatosa, WI 53213-2506 | 2008-04-29 |
| 1649339813 | Milwaukee Academy | Residential Treatment Facility, Emotionally Disturbed Children | 9501 W Watertown Plank Rd, Wauwatosa, WI 53226-3552 | 2006-12-06 |
| 1508033770 | Milwaukee Academy | Residential Treatment Facility, Emotionally Disturbed Children | 9501 W Watertown Plank Rd, Wauwatosa, WI 53226-3552 | 2008-05-15 |
| 1932372851 | Milwaukee Academy | Residential Treatment Facility, Emotionally Disturbed Children | 9501 W Watertown Plank Rd, Wauwatosa, WI 53226-3552 | 2008-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134764103 | Anders Developmental & Transition Home LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3359 N 25th St, Milwaukee, WI 53206-1237 | 2019-11-13 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1033417670 | Allendale Association | Residential Treatment Facility, Emotionally Disturbed Children | 12603 224th Ave, Benet Lake, WI 53102-1000 | 2011-03-07 |
| 1366601718 | Mercy Assisted Care Inc | Residential Treatment Facility, Emotionally Disturbed Children | 20 E Court St, Janesville, WI 53545-3976 | 2008-06-02 |
| 1861666943 | Tomorrow's Children, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | N3066 Tomorrow's Lane, Waupaca, WI 54981-0192 | 2008-04-18 |
| 1629261086 | Willowglen Academy - Howard | Residential Treatment Facility, Emotionally Disturbed Children | 3959 S 51st St, Milwaukee, WI 53220-2653 | 2007-08-20 |
| 1093908451 | Willowglen Academy - Wilson | Residential Treatment Facility, Emotionally Disturbed Children | 3603 S Business Dr, Sheboygan, WI 53081-7096 | 2007-08-20 |
| 1669670477 | Willowglen Academy-wisconsin, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Reed St, Plymouth, WI 53073-2506 | 2007-07-03 |
| 1457559262 | Willowglen Hein Foster Care Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 207 Hein Ave, Plymouth, WI 53073-2526 | 2007-07-03 |
| 1134327943 | Bell Therapy, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3018 S 9th St, Milwaukee, WI 53215-3944 | 2007-07-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.