HUMAN DEVELOPMENT CENTER (NPI# 1407021579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407021579 |
| Entity Type | Organization |
| Organization Name | HUMAN DEVELOPMENT CENTER |
| Other Organization Name | HUMAN DEVELOPMENT CENTER |
| Practice Address |
1500 N 34th St Ste 100 Superior WI 54880-4476 |
| Mailing Address |
1401 E 1st St Duluth MN 55805-2407 |
| Practice Telephone | 7153928216 |
| Practice Fax Number | 7153956055 |
| Mailing Telephone | 2187284491 |
| Mailing Fax Number | 2187284404 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | BENJAMIN HATFIELD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2187284491 |
| Is Organization Subpart | Y |
| Parent Organization Name | HUMAN DEVELOPMENT CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42252300 | 05 |
| Other Name | Type Code |
|---|---|
| Human Development Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710306949 | Human Development Center | Counselor | 6833 W Fond Du Lac Ave, 3rd Floor, Milwaukee, WI 53218-3900 | 2014-04-15 |
| 1205957610 | Human Development Center | Community/Behavioral Health | 1807 West Hwy 61, P.o. Box 847, Grand Marais, MN 55604-0847 | 2007-04-03 |
| 1194790733 | Human Development Center | Counselor | 1401 E 1st St, Duluth, MN 55805-2407 | 2006-02-17 |
| 1902049315 | Human Development Center | Counselor | 1500 N 34th St, Superior, WI 54880-4477 | 2009-04-15 |
| 1750561148 | Human Development Center | Clinic/Center | 115 Fulford Ave, Bel Air, MD 21014-3833 | 2007-11-14 |
| 1649391053 | Human Development Center | Community/Behavioral Health | 810 E 4th St, Duluth, MN 55805-2147 | 2007-04-03 |
| 1114048527 | Human Development Center | Community/Behavioral Health | 40 11th St, Cloquet, MN 55720-1817 | 2007-04-03 |
| 1376663468 | Human Development Center | Case Management | 325 11th Ave, Two Harbors, MN 55616-1300 | 2007-03-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | HUMAN DEVELOPMENT CENTERS, INC. | 341 Parkside Avenue, Buffalo, Ny 142141960 |
| Street Address |
1500 N 34TH ST STE 100 |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-4476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700344009 | Emily Weber | Case Manager/Care Coordinator | 1500 N 34th St Ste 100, Superior, WI 54880-4476 | 2019-03-05 |
| 1700123973 | Amy Lynn Lisdahl | Registered Nurse | 1500 N 34th St Ste 100, Superior, WI 54880-4476 | 2013-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671437 | Pono Counseling Services Pllc | Community/Behavioral Health | 1319 S Weldona Ln, Superior, CO 80027-8063 | 2018-08-30 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1801253844 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Community/Behavioral Health | 33 N 25th St E, Superior, WI 54880-5269 | 2016-01-21 |
| 1174995146 | Pickering Counseling & Consulting, Inc. | Community/Behavioral Health | 1728 Tower Ave, Superior, WI 54880-2543 | 2015-10-29 |
| 1841369634 | Horizon Health and Wellness, Inc. | Community/Behavioral Health | 400 W Main, Superior, AZ 85173 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968990 | Zoran Jovicic | Community/Behavioral Health | 3239 S 58th St Unit 104, Milwaukee, WI 53219-4365 | 2020-10-08 |
| 1437776457 | Milkweed Connections LLC | Community/Behavioral Health | 1700 Tainter St Ste D, Menomonie, WI 54751-1358 | 2020-06-26 |
| 1477178473 | Grace Counseling & Family Services S.c | Community/Behavioral Health | 121 S Adams St, New Lisbon, WI 53950-1205 | 2020-06-15 |
| 1740804491 | Strides Equestrian Therapeutic Center LLC | Community/Behavioral Health | W6769 Colby Factory Rd, Greenwood, WI 54437-9010 | 2020-05-28 |
| 1841831153 | Sheboygan County Halfway House | Community/Behavioral Health | 503 Ontario Ave, Sheboygan, WI 53081-4151 | 2019-10-08 |
| 1780234955 | Spirited Psychological Services LLC | Community/Behavioral Health | 376 Violet Cir, Grantsburg, WI 54840-8564 | 2019-09-18 |
| 1548816580 | Latara Williams | Community/Behavioral Health | 2447 N 50th St, Milwaukee, WI 53210-2815 | 2019-08-15 |
| 1942856091 | Kennedy's Circle of Wellness LLC | Community/Behavioral Health | 3614 W North Ave, Milwaukee, WI 53208-1416 | 2019-08-14 |
| 1104386101 | Counseling Center | Community/Behavioral Health | 601 N 5th St, Sheboygan, WI 53081-4624 | 2019-03-25 |
| 1205391828 | Jerome Pitchford | Community/Behavioral Health | 1220 W Atkinson Ave, Milwaukee, WI 53206-3024 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HUMAN DEVELOPMENT CENTER.
| 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.