WISCONSIN EATING DISORDER SPECIALISTS SC
NPI 1801807375
Psychiatric Hospital in Oconomowoc, WI

Q: What is the provider's specialty?

The provider's specialty is Psychiatric Hospital with taxonomy code 283Q00000X.

Active since August 10, 2006

34700 VALLEY RD, OCONOMOWOC, WI 53066(262) 646-1387(262) 646-7067 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Wisconsin Eating Disorder Specialists Sc NPPES

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

WISCONSIN EATING DISORDER SPECIALISTS SC (NPI 1801807375) is a healthcare organization registered as a psychiatric hospital in Oconomowoc, Wisconsin and active in the NPI registry since August 2006. The organization lists Theodore Weltzin, Owner, as its authorized official.

NPPES Registry Identity

NPI1801807375

Entity TypeOrganization

Primary Taxonomy283Q00000X

Legal Business NameWISCONSIN EATING DISORDER SPECIALISTS SC

Location Address34700 VALLEY RDOconomowoc, WI 53066-4500

Mailing Address3630 N Hickory LnOconomowoc, WI 53066-4532 · (262) 646-1387 · Fax (262) 646-7067

Phone(262) 646-1387

Fax(262) 646-7067

Organization SubpartNo

Authorized OfficialTheodore WeltzinOwner · (262) 646-4411

Enumeration DateAugust 10, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1801807375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals

Taxonomy Code283Q00000X

Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

34700 VALLEY RD, Oconomowoc, WI 53066

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