CENTRAL WISCONSIN CENTER FOR THE DEVELOPMENTALLY DISABLED – NPI #1386705655
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

CENTRAL WISCONSIN CENTER FOR THE DEVELOPMENTALLY DISABLED is a residential treatment facility located in MADISON, WI. NPPES has assigned the NPI number 1386705655 to CENTRAL WISCONSIN CENTER FOR THE DEVELOPMENTALLY DISABLED on December 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRAL WISCONSIN CENTER FOR THE DEVELOPMENTALLY DISABLED” is a dba name, the actual legal business name for this organization is STATE OF WISCONSIN. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was last updated on Dec 10, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL WISCONSIN CENTER FOR THE DEVELOPMENTALLY DISABLED below.

NPI Profile for
STATE OF WISCONSIN

NPI Number
1386705655
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STATE OF WISCONSIN
Doing Business As (dba): CENTRAL WISCONSIN CENTER FOR THE DEVELOPMENTALLY DISABLED
Primary location
317 KNUTSON DR
MADISON, WI 53704-1133
Phone: (608) 301-9200 Fax: (608) 301-1811
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WALTON SCHALICK
MEDICAL DIRECTOR
Phone: (609) 301-9231
Updated
Certification Date
Dec 10, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CENTRAL WISCONSIN CENTER FOR THE DEVELOPMENTALLY DISABLED

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWI21050100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 WI 2780

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.