NORRIS ADOLESCENT CENTER


Address: W247s10395 Center Dr, Mukwonago, WI 53149-9166
Phone: 2626625900

NORRIS ADOLESCENT CENTER (NPI# 1841466083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841466083
Entity Type Organization
Organization Name NORRIS ADOLESCENT CENTER
Practice Address W247s10395 Center Dr
Mukwonago
WI 53149-9166
Practice Telephone 2626625900
Practice Fax Number 2626625688
Mailing Telephone 2626625900
Mailing Fax Number 2626625688
Enumeration Date 2008-05-07
Last Update Date 2008-05-08
Authorized Official Name ANN M LEISKAU (ACCOUNTANT)
Authorized Official Telephone 2626625900
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1235304056 Norris Adolescent Center Residential Treatment Facility, Emotionally Disturbed Children W247s10395 Center Dr, Mukwonago, WI 53149-9166 2008-04-23

Office Location

Street Address W247S10395 CENTER DR
City MUKWONAGO
State WI
Zip Code 53149-9166

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407078835 Sandra Lynn Muetzel Social Worker W247s10395 Center Dr, Mukwonago, WI 53149-9166 2007-05-03
1932633963 Brittni Liebhauser Social Worker W247s10395 Center Dr, Mukwonago, WI 53149-9166 2017-04-17
1194106500 Emily Aleksy Social Worker W247s10395 Center Dr, Mukwonago, WI 53149-9166 2015-06-11
1912292145 Amy Beth Weast Social Worker W247s10395 Center Dr, Mukwonago, WI 53149-9166 2011-06-15
1235304056 Norris Adolescent Center Residential Treatment Facility, Emotionally Disturbed Children W247s10395 Center Dr, Mukwonago, WI 53149-9166 2008-04-23
1538374913 Jeff Stephani Social Worker W247s10395 Center Dr, Mukwonago, WI 53149-9166 2007-05-11
1821201146 Jessica Lynn Elliott Social Worker W247s10395 Center Dr, Mukwonago, WI 53149-9166 2007-05-07
1538371232 Thomas William Towey Counselor W247s10395 Center Dr, Mukwonago, WI 53149-9166 2007-05-04
1265644405 Charles Peter Koenings Counselor W247s10395 Center Dr, Mukwonago, WI 53149-9166 2007-05-03
1447472717 Megan M. Lamster Counselor W247s10395 Center Dr, Mukwonago, WI 53149-9166 2007-05-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720433790 Orthopaedic Associates of Wisconsin Sc Physical Medicine & Rehabilitation 1231 S Rochester St Ste 100, Mukwonago, WI 53149 2016-04-27
1952724304 Therapeutic Healing, LLC Clinic/Center S77 W30705 Mosher Dr., Mukwonago, WI 53149 2014-01-21
1659667087 Joan Maria Stevenson Occupational Therapist 111 Aktinson St., Unit 2, Mukwonago, WI 53149 2011-06-23
1770873515 Kimberly Lynn Schmor Licensed Practical Nurse 833 Pinehurst Dr, Mukwonago, WI 53149 2011-04-13
1952619959 Jennifer Ann Crnkovich Nurse Practitioner W307 S7835 Applewood Lane, Mukwonago, WI 53149 2010-09-24
1841460839 Wendy Schmidt Occupational Therapist 1231 S Rochester St Ste 210, Mukwonago, WI 53149 2008-03-05
1659589570 Pamela Ann Mcwilliams Dentist 603 North Rochester St., Mukwonago, WI 53149 2007-05-21
1891823787 Rosalind J Boyer-cole Anesthesiology S86w26640 Rustic View Ln, Mukwonago, WI 53149 2007-03-01
1184777435 Michael F Connor Dentist 603 N Rochester Street, Mukwonago, WI 53149 2007-01-19
1912057159 Leah Mary Hudson Occupational Therapist 103 Apollo Ct, Mukwonago, WI 53149 2007-01-11
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235304056 Norris Adolescent Center Residential Treatment Facility, Emotionally Disturbed Children W247s10395 Center Dr, Mukwonago, WI 53149-9166 2008-04-23

Providers in the same taxonomy and state

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
1346415445 Carmelite Home, Inc Residential Treatment Facility, Emotionally Disturbed Children 1214 Kavanaugh Pl, Wauwatosa, WI 53213-2506 2008-04-29
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
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Competitor

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City MUKWONAGO
Zip Code 53149

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Dataset Information

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.

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