WILLOWGLEN ACADEMY-WISCONSIN, INC. (NPI# 1598082729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598082729 |
| Entity Type | Organization |
| Organization Name | WILLOWGLEN ACADEMY-WISCONSIN, INC. |
| Practice Address |
5151 W Silver Spring Dr Milwaukee WI 53218-3300 |
| Practice Telephone | 4145276970 |
| Practice Fax Number | 4145276941 |
| Mailing Telephone | 4145276970 |
| Mailing Fax Number | 4145276941 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |
| Authorized Official Name | MS. PAULA A. LUCEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4145276970 |
| Authorized Official Credential | MSN, RN |
| Is Organization Subpart | Y |
| Parent Organization Name | PHOENIX CARE SYSTEMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 67227-30 | WI | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891935912 | Willowglen Academy-wisconsin, Inc. | Community/Behavioral Health | W1236 County Highway Ff, Sheboygan, WI 53083-5138 | 2009-03-02 |
| 1669670477 | Willowglen Academy-wisconsin, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Reed St, Plymouth, WI 53073-2506 | 2007-07-03 |
| Street Address |
5151 W SILVER SPRING DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53218-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851324560 | Ronald T. Mendyke | Social Worker | 5151 W Silver Spring Dr, Milwaukee, WI 53218-3300 | 2006-07-08 |
| 1487007654 | Shana Marie Tims | Case Manager/Care Coordinator | 5151 W Silver Spring Dr, Milwaukee, WI 53218-3300 | 2016-07-22 |
| 1073988820 | Oluwadamilola Kemi Awe | Case Manager/Care Coordinator | 5151 W Silver Spring Dr, Milwaukee, WI 53218-3300 | 2015-12-04 |
| 1881061869 | Maggie Selina Ricks-ross | Licensed Practical Nurse | 5151 W Silver Spring Dr, Milwaukee, WI 53218-3300 | 2015-08-26 |
| 1083091839 | Camille Tadych | Case Manager/Care Coordinator | 5151 W Silver Spring Dr, Milwaukee, WI 53218-3300 | 2015-04-30 |
| 1568859981 | Mary Maher Ibrahim | Case Manager/Care Coordinator | 5151 W Silver Spring Dr, Milwaukee, WI 53218-3300 | 2015-04-23 |
| 1457748865 | Johnna Marie Curry | Case Manager/Care Coordinator | 5151 W Silver Spring Dr, Milwaukee, WI 53218-3300 | 2015-04-23 |
| 1013304542 | Christenia Nicole Cogdill | Case Manager/Care Coordinator | 5151 W Silver Spring Dr, Milwaukee, WI 53218-3300 | 2015-04-22 |
| 1043627912 | Sonia Porter | Prevention Professional | 5151 W Silver Spring Dr, Milwaukee, WI 53218-3300 | 2014-07-12 |
| 1295161289 | Christine Marie Herbert-fischer | Counselor | 5151 W Silver Spring Dr, Milwaukee, WI 53218-3300 | 2013-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571050 | Kaak Living | Clinic/Center | 5938 N 76th Street, Milwaukee, WI 53218 | 2020-05-29 |
| 1306495064 | Jeanette Bearden | Technician | 4477 N 57 St., Milwaukee, WI 53218 | 2019-09-05 |
| 1770074080 | Sunvale Homes LLC | Home Health | 4714 N 58th St, Milwaukee, WI 53218 | 2018-05-22 |
| 1447740006 | Quantum Care LLC | Home Health | 6424 W Fondulac Avenue, Unit 1, Milwaukee, WI 53218 | 2018-05-18 |
| 1811413008 | Ewura Asie Amonoo | Case Manager/Care Coordinator | 5153 W. Silver Spring, Milwaukee, WI 53218 | 2017-08-18 |
| 1649706714 | Life Tree Pharmacy LLC | Pharmacy | 8329-5 W Appleton Ave, Milwaukee, WI 53218 | 2017-05-10 |
| 1720524341 | Nastassia S Jackson | Counselor | 6830 W Villard Ave Ste 190, Milwaukee, WI 53218 | 2017-01-07 |
| 1801330493 | Mary Beth Cafaro | Social Worker | 5555 N. 51st Blvd, Milwaukee, WI 53218 | 2016-12-15 |
| 1669823613 | Lasonya Carol Wilson | Licensed Practical Nurse | 5830 N 75th St, Milwaukee, WI 53218 | 2016-06-30 |
| 1225302243 | Drew Douglas Cannon | Social Worker | 5555 N 51st Street, Milwaukee, WI 53218 | 2012-03-08 |
| Find all providers in zip 53218 | ||||
| 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 |
|---|---|---|---|---|
| 1558968990 | Zoran Jovicic | Community/Behavioral Health | 3239 S 58th St Unit 104, Milwaukee, WI 53219-4365 | 2020-10-08 |
| 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 |
| 1205391828 | Jerome Pitchford | Community/Behavioral Health | 1220 W Atkinson Ave, Milwaukee, WI 53206-3024 | 2019-02-07 |
| 1194233718 | The Evolving Chair Counseling and Consulting Agency | Community/Behavioral Health | 3100 N 78th St, Milwaukee, WI 53222-3916 | 2018-01-17 |
| 1316453905 | D.a.a.n.i Professional Counseling Service LLC | Community/Behavioral Health | 2943 N 52nd St, Milwaukee, WI 53210-1610 | 2017-12-19 |
| 1932654845 | The Thresholds | Community/Behavioral Health | 6815 W Capitol Dr # 305, Milwaukee, WI 53216-2070 | 2016-08-20 |
| 1801341144 | Fly Philanthropy Inc | Community/Behavioral Health | 3352 N Palmer St, Milwaukee, WI 53212-1541 | 2016-08-16 |
| 1659726545 | Pathway Youth & Famiy Services | Community/Behavioral Health | 3879 N Port Washington Rd, Milwaukee, WI 53212-1180 | 2016-04-27 |
| 1528413671 | Adventures In Play, LLC | Community/Behavioral Health | 2118 E Kenilworth Pl, Lowr, Milwaukee, WI 53202-1327 | 2016-04-26 |
| Find all providers in MILWAUKEE | ||||
Please comment or provide details below to improve the information on WILLOWGLEN ACADEMY-WISCONSIN, INC..
| 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.