WILLOWGLEN ACADEMY-WISCONSIN, INC.
NPI 1669670477
Residential Treatment Facility, Emotionally Disturbed Children in Plymouth, WI

Active since July 03, 2007
1111 REED ST, PLYMOUTH, WI 53073(920) 565-6004 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willowglen Academy-wisconsin, Inc. NPPES

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

WILLOWGLEN ACADEMY-WISCONSIN, INC. (NPI 1669670477) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Plymouth, Wisconsin and active in the NPI registry since July 2007. The organization lists Sara Sandee, Director Residential Services, as its authorized official.

NPPES Registry Identity

NPI1669670477
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameWILLOWGLEN ACADEMY-WISCONSIN, INC.
Location Address1111 REED STPlymouth, WI 53073-2506
Mailing Address1111 Reed StPlymouth, WI 53073-2506 · (920) 565-6004
Organization SubpartNo
Authorized OfficialSara SandeeDirector Residential Services · (414) 527-6970
Enumeration DateJuly 3, 2007
Last NPPES UpdateJune 25, 2008
NPI 1669670477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License Licensed in WI · 1001570
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
1111 REED ST, Plymouth, WI 53073

Other Providers at the Same Location NPPES 2

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

Case Manager/Care Coordinator
1111 REED ST
PLYMOUTH, WI 53073
Social Worker
1111 REED ST
PLYMOUTH, WI 53073

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-Wisconsin, Inc.'s NPI number?

The NPI number for Willowglen Academy-Wisconsin, Inc. is 1669670477. It was assigned to this organization in the NPPES registry on July 3, 2007.

Where is Willowglen Academy-Wisconsin, Inc. located?

Willowglen Academy-Wisconsin, Inc. is located at 1111 Reed St, Plymouth, WI 53073. The listed phone number is (920) 565-6004.

What is Willowglen Academy-Wisconsin, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Willowglen Academy-Wisconsin, Inc. was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.