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

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: August 09, 2026.

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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Other Identifiers 1

Medicaid21282400WI

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.

JODI TOMPITCH APNP
Clinical Nurse Specialist (Psychiatric/Mental Health)
34700 VALLEY RD
OCONOMOWOC, WI 53066
Waukesha County (414) 587-1430
ROGERS MEMORIAL HOSPITAL INCORPORATED
Psychiatric Hospital
34700 VALLEY RD
OCONOMOWOC, WI 53066
Waukesha County (800) 767-4411
ERIK J ULLAND M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
34700 VALLEY RD
OCONOMOWOC, WI 53066
Waukesha County (262) 646-4411
JESSICA SHUMOW APNP
Nurse Practitioner (Family)
34700 VALLEY RD
OCONOMOWOC, WI 53066
Waukesha County (262) 646-4411
RICK WOODWARD PA
Physician Assistant
34700 VALLEY RD
OCONOMOWOC, WI 53066
Waukesha County (800) 767-4411
ELIZABETH A HAMLIN MD
Psychiatry & Neurology (Psychiatry)
34700 VALLEY RD
OCONOMOWOC, WI 53066
Waukesha County (262) 646-4411
CUONG TIEU M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
34700 VALLEY RD
OCONOMOWOC, WI 53066
Waukesha County (262) 646-1391
DR. ANDREW M BUTCHART D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
34700 VALLEY RD
OCONOMOWOC, WI 53066
Waukesha County (262) 646-1391

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 Wisconsin Eating Disorder Specialists Sc's NPI number?

The NPI number for Wisconsin Eating Disorder Specialists Sc is 1801807375. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Wisconsin Eating Disorder Specialists Sc located?

Wisconsin Eating Disorder Specialists Sc is located at 34700 Valley Rd, Oconomowoc, WI 53066. The listed phone number is (262) 646-1387.

What is Wisconsin Eating Disorder Specialists Sc's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

When was this NPI record last updated?

The NPPES record for Wisconsin Eating Disorder Specialists Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.