SHEBOYGAN COMPREHENSIVE TREATMENT CENTER (NPI# 1447609029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447609029 |
| Entity Type | Organization |
| Organization Name | SHEBOYGAN COMPREHENSIVE TREATMENT CENTER |
| Practice Address |
2842 S Business Dr Sheboygan WI 53081-6518 |
| Mailing Address |
W1781 Puddlefort St Mount Calvary WI 53057-9714 |
| Practice Telephone | 9204586527 |
| Mailing Telephone | 9209043533 |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |
| Authorized Official Name | CARY TAUCHMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9204586527 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 16934-130 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 101YA0400X | 05 |
| Street Address |
2842 S BUSINESS DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-6518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245487602 | Lori L Baril | Counselor | 2842 S Business Dr, B107, Sheboygan, WI 53081-6518 | 2008-08-27 |
| 1043844103 | Autumn Brooke Wendlandt | Registered Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2020-02-27 |
| 1861022022 | Angelique Netzband-fischer | Counselor | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2020-01-16 |
| 1841831880 | Todd Allen Juhl | Registered Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2019-10-01 |
| 1750942157 | Mary Joanne Goodman | Counselor | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2019-06-26 |
| 1417515834 | Linda Lou Fickett | Licensed Practical Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2019-05-31 |
| 1588147862 | Leah Ann Mullens | Registered Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2018-09-12 |
| 1801395348 | Katherine Mary Conto | Registered Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2018-02-11 |
| 1417461401 | Jennifer Lynn Brubaker | Psychiatry & Neurology | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2017-11-29 |
| 1467961532 | Carol Emerick | Licensed Practical Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2017-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| 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 |
|---|---|---|---|---|
| 1841831153 | Sheboygan County Halfway House | Community/Behavioral Health | 503 Ontario Ave, Sheboygan, WI 53081-4151 | 2019-10-08 |
| 1104386101 | Counseling Center | Community/Behavioral Health | 601 N 5th St, Sheboygan, WI 53081-4624 | 2019-03-25 |
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1891935912 | Willowglen Academy-wisconsin, Inc. | Community/Behavioral Health | W1236 County Highway Ff, Sheboygan, WI 53083-5138 | 2009-03-02 |
| 1902023955 | Aurora Health Care Central, Inc. | Community/Behavioral Health | 2629 N 7th St., Sheboygan, WI 53083 | 2007-04-19 |
| 1639484942 | County of Sheboygan | Community/Behavioral Health | 1011 N 8th St, Sheboygan, WI 53081-4006 | 2010-08-11 |
| 1417124322 | County of Sheboygan | Community/Behavioral Health | 1011 N 8th St, Sheboygan, WI 53081-4006 | 2008-05-09 |
| 1508033416 | County of Sheboygan | Community/Behavioral Health | 1011 N 8th St, Sheboygan, WI 53081-4006 | 2008-05-09 |
| 1750508073 | Sheboygan County Health & Human Services | Community/Behavioral Health | 1011 N 8th St, Sheboygan, WI 53081-4006 | 2007-04-19 |
| 1326172594 | Sheboygan County Health & Human Services | Community/Behavioral Health | 1011 N 8th St, Sheboygan, WI 53081-4006 | 2007-03-16 |
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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.