CENTRAL WISCONSIN CENTER FOR THE DEVELOPMENTALLY DISABLED
NPI 1386705655
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Madison, WI
NPI Status: Active since December 12, 2006
Contact Information
317 KNUTSON DR
MADISON, WI
ZIP 53704
Phone: (608) 301-9200
Fax: (608) 301-1811
- Organization
- Residential Treatment Facility, Intellec...
- CLIA Number: 52D0039621
- CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
- CLIA Exp. Date: 08-31-2026
About CENTRAL WISCONSIN CENTER FOR THE DEVELOPMENTALLY DISABLED
This page provides the complete NPI Profile along with additional information for Central Wisconsin Center For The Developmentally Disabled, a provider established in Madison, Wisconsin operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1386705655 assigned on December 2006. The practitioner's primary taxonomy code is 320600000X with license number 2780 (WI). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Central Wisconsin Center For The Developmentally Disabled. The authorized official of this NPI record is Dr. Walton O Schalick Iii Md,phd (Medical Director)
- NPI
- 1386705655
- Provider Legal Name
- STATE OF WISCONSIN
- Other Organization Name
- CENTRAL WISCONSIN CENTER FOR THE DEVELOPMENTALLY DISABLED
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 317 KNUTSON DR MADISON, WI 53704
- Location Phone
- (608) 301-9200
- Location Fax
- (608) 301-1811
- Mailing Address
- 317 KNUTSON DR MADISON, WI 53704
- Mailing Phone
- (608) 301-9200
- Mailing Fax
- (608) 301-1811
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-12-2006
- Last Update Date
- 12-10-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- License No.
- 2780
- License State
- WI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21050100 | MEDICAID (05) | WI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0039621
- Facility Type
- Intermediate Care Facility for Mentally Retarded
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- RONALD P. SHAW
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Central Wisconsin Center For The Developmentally Disabled to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CENTRAL WISCONSIN CENTER FOR THE DEVELOPMENTALLY DISABLED
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 8 | 6 | 7 | 0 | 5 | 6 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 14 | 0 | 10 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 1 + 4 + 0 + 1 + 0 + 6 + 1 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1386705655 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. JEFFREY ALLEN MARCUS M.D.
Psychiatry & Neurology
(Psychiatry)
317 KNUTSON DR
MADISON, WI
ZIP 53704
DR. JEFFREY NEALE SELTZ M.D.
Pediatrics
(Neurodevelopmental Disabilities)
317 KNUTSON DR
MADISON, WI
ZIP 53704
KIMBERLY ANNE COPLIEN DPT
Physical Therapist
317 KNUTSON DR
MADISON, WI
ZIP 53704
SUSAN C DEMPSEY PT
Physical Therapist
317 KNUTSON DR
MADISON, WI
ZIP 53704
MRS. MUNCHUNG CHANG MS, PT
Physical Therapist
(Pediatrics)
317 KNUTSON DR
MADISON, WI
ZIP 53704
SANDRA K. DROSTER OTR
Occupational Therapist
317 KNUTSON DR
MADISON, WI
ZIP 53704
MRS. KAREN L MCROBERTS PHYSICAL THERAPIST
Physical Therapist
317 KNUTSON DR
MADISON, WI
ZIP 53704
MS. LISA KAY NIKULA C.O.T.A.
Occupational Therapy Assistant
317 KNUTSON DR
MADISON, WI
ZIP 53704
KAREN FERRIS MSPT
Physical Therapist
317 KNUTSON DR
MADISON, WI
ZIP 53704
MS. ELANA M DRESEN COTA
Occupational Therapy Assistant
317 KNUTSON DR
MADISON, WI
ZIP 53704
KAREN JUNE KINNAMON OTR
Occupational Therapist
317 KNUTSON DR
MADISON, WI
ZIP 53704
MRS. LISA ANN ROESSLER OTR
Occupational Therapist
317 KNUTSON DR
MADISON, WI
ZIP 53704
MS. BERLY TEIGEN PTA
Physical Therapist
317 KNUTSON DR
MADISON, WI
ZIP 53704
MRS. PAMELA LORRAINE MOE OTR
Occupational Therapist
(Pediatrics)
317 KNUTSON DR
MADISON, WI
ZIP 53704
MRS. BRENDA SUE SCHMIDT PT
Physical Therapist
(Pediatrics)
317 KNUTSON DR
MADISON, WI
ZIP 53704
MRS. DIANNE MICHELLE WOOD
Physical Therapist
317 KNUTSON DR
MADISON, WI
ZIP 53704
MRS. DIANE FAY KAHL OTR
Occupational Therapist
(Neurorehabilitation)
317 KNUTSON DR
MADISON, WI
ZIP 53704
MRS. BARBARA SUE KOEHLER OTR
Occupational Therapist
317 KNUTSON DR
MADISON, WI
ZIP 53704
MARIAN HIGBY FREDAL P.T.
Physical Therapist
(Pediatrics)
317 KNUTSON DR
MADISON, WI
ZIP 53704
MR. JUDITH CHRISTINE SWEERS COTA
Occupational Therapy Assistant
317 KNUTSON DR
MADISON, WI
ZIP 53704
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386705655, enumerated as an "organization" on December 12, 2006.
The provider is located at 317 KNUTSON DR MADISON, WI 53704 and the phone number is (608) 301-9200.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
