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WILLOWGLEN ACADEMY OUTPATIENT CLINIC
NPI 1619147048
Clinic/Center in Milwaukee, WI

Active since February 29, 2008
4065 N 35TH ST, SUITE N100, MILWAUKEE, WI 53216(414) 445-9180(414) 445-5995 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willowglen Academy Outpatient Clinic NPPES

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

WILLOWGLEN ACADEMY OUTPATIENT CLINIC (NPI 1619147048) is a healthcare organization registered as a clinic/center in Milwaukee, Wisconsin and active in the NPI registry since February 2008. The organization lists Shanna Maloney, Director Of Outpatient Services, as its authorized official.

NPPES Registry Identity

NPI1619147048
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWILLOWGLEN ACADEMY INC
Location Address4065 N 35TH ST, SUITE N100Milwaukee, WI 53216-1705
Mailing Address4065 N 35th St, Suite N100Milwaukee, WI 53216-1705 · (414) 445-9180 · Fax (414) 445-5995
Phone(414) 445-9180
Fax(414) 445-5995
Organization SubpartNo
Authorized OfficialShanna MaloneyDirector Of Outpatient Services · (414) 445-9180
Enumeration DateFebruary 29, 2008
Last NPPES UpdateJune 19, 2014
✔ NPI 1619147048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in WI · 2004
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4065 N 35TH ST, Milwaukee, WI 53216
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Other Names 1

Other NameWillowglen Academy Outpatient Clinic

Other Identifiers 1

Medicaid42167200WI

Other Providers at the Same Location NPPES 18

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

CHRISTY J HUBBARD
Case Manager/Care Coordinator
4065 N 35TH ST
MILWAUKEE, WI 53216
Milwaukee County (414) 445-9180
BELL THERAPY, INC.
Day Training, Developmentally Disabled Services
4065 N 35TH ST
MILWAUKEE, WI 53216
Milwaukee County (414) 445-9180
BRIANNA JEAN RETI
Case Manager/Care Coordinator
4065 N 35TH ST
MILWAUKEE, WI 53216
Milwaukee County (414) 445-9180
MELINDA A HARDGE LPC-IT
Counselor (Mental Health)
4065 N 35TH ST
MILWAUKEE, WI 53216
Milwaukee County (414) 445-9180
LEE M GRUENWALD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4065 N 35TH ST
MILWAUKEE, WI 53216
Milwaukee County (414) 445-9180
DEREK JOHN CIECKO OTR
Occupational Therapist
4065 N 35TH ST
MILWAUKEE, WI 53216
Milwaukee County (414) 445-9180
MARIE A JONCAS OTR
Occupational Therapist
4065 N 35TH ST
MILW, WI 53216
Milwaukee County (414) 445-9180
DENISE ANN HEMPEL COTA
Occupational Therapy Assistant
4065 N 35TH ST
MILWAUKEE, WI 53216
Milwaukee County (414) 445-9180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willowglen Academy Inc's NPI number?

The NPI number for Willowglen Academy Inc is 1619147048. It was assigned to this organization in the NPPES registry on February 29, 2008. The provider is also known as Willowglen Academy Outpatient Clinic.

Where is Willowglen Academy Inc located?

Willowglen Academy Inc is located at 4065 N 35th St Suite N100, Milwaukee, WI 53216. The listed phone number is (414) 445-9180.

What is Willowglen Academy Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Willowglen Academy Inc was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.