CENTRAL WISCONSIN CENTER FOR THE DEVELOPMENTALLY DISABLED
NPI 1386705655
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Madison, WI

Q: What is State Of Wisconsin's NPI number?

The NPI number for State Of Wisconsin is 1386705655. It was assigned to this organization in the NPPES registry on December 12, 2006. The provider is doing business as Central Wisconsin Center For The Developmentally Disabled.

Q: What is State Of Wisconsin's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since December 12, 2006

317 KNUTSON DR, MADISON, WI 53704(608) 301-9200(608) 301-1811 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Central Wisconsin Center For The Developmentally Disabled NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL WISCONSIN CENTER FOR THE DEVELOPMENTALLY DISABLED (NPI 1386705655) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Madison, Wisconsin and active in the NPI registry since December 2006. The organization lists Walton O Schalick, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1386705655

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameSTATE OF WISCONSIN

Location Address317 KNUTSON DRMadison, WI 53704-1133

Mailing Address317 Knutson DrMadison, WI 53704-1133 · (608) 301-9200 · Fax (608) 301-1811

Phone(608) 301-9200

Fax(608) 301-1811

Organization SubpartNo

Authorized OfficialWalton O SchalickMedical Director · (609) 301-9231

Enumeration DateDecember 12, 2006

Last NPPES UpdateDecember 10, 2024

NPPES CertifiedDecember 10, 2024

✔ NPI 1386705655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in WI · 2780

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

317 KNUTSON DR, Madison, WI 53704

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Other Names 1

Doing Business AsCentral Wisconsin Center For The Developmentally Disabled

Other Identifiers 1

Medicaid21050100WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA WESTGATE COTA

Occupational Therapy Assistant