1. Home
  2. Directory
  3. Wisconsin
  4. Milwaukee
  5. Day Training Developmentally Disabled Services
  6. NPI Profile

WILLOWGLEN ACADEMY, INC.
NPI 1881745776
Day Training, Developmentally Disabled Services in Milwaukee, WI

Active since January 16, 2007
3903 W LISBON AVE, MILWAUKEE, WI 53208(414) 342-2060(414) 342-3663 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willowglen Academy, Inc. NPPES

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

WILLOWGLEN ACADEMY, INC. (NPI 1881745776) is a healthcare organization registered as a day training, developmentally disabled services in Milwaukee, Wisconsin and active in the NPI registry since January 2007. The organization lists Leonard F Dziubla, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1881745776
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameWILLOWGLEN ACADEMY, INC.
Location Address3903 W LISBON AVEMilwaukee, WI 53208-1835
Mailing Address1744 N Farwell AveMilwaukee, WI 53202-1806 · (414) 225-4460 · Fax (414) 225-4469
Phone(414) 342-2060
Fax(414) 342-3663
Organization SubpartNo
Authorized OfficialLeonard F DziublaPresident & Ceo · (414) 225-4460
Enumeration DateJanuary 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1881745776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
License✔ Licensed in WI · 2366
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
3903 W LISBON AVE, Milwaukee, WI 53208
Open in Google Maps ↗

Other Identifiers 2

Medicaid43003300WI
Other2366WI · State License

Other Providers at the Same Location NPPES

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

MR. DOUG RYAN PULVERMACHER MS LPC
Counselor (Professional)
3903 W LISBON AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 342-2060

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 1881745776. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Willowglen Academy, Inc. located?

Willowglen Academy, Inc. is located at 3903 W Lisbon Ave, Milwaukee, WI 53208. The listed phone number is (414) 342-2060.

What is Willowglen Academy, Inc.'s specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Willowglen Academy, Inc. 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.