CHILD AND FAMILY CONSULTANTS
NPI 1063693273
Clinic/Center - Adolescent and Children Mental Health in Green Bay, WI

NPI Status: Active since November 15, 2007

Contact Information

840 WILLARD DR
SUITE 201
GREEN BAY, WI
ZIP 54304
Phone: (920) 497-0788
Fax: (920) 497-0792

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About CHILD AND FAMILY CONSULTANTS

This page provides the complete NPI Profile along with additional information for Child And Family Consultants, a provider established in Green Bay, Wisconsin operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1063693273 assigned on November 2007. The practitioner's primary taxonomy code is 261QM0855X with license number 40554-020 (WI). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Cheryl Kay Rotherham M.s. (Owner/therapist/president)

NPI
1063693273
Provider Name
CHILD AND FAMILY CONSULTANTS
Entity Type
Organization
Location Address
840 WILLARD DR SUITE 201 GREEN BAY, WI 54304
Location Phone
(920) 497-0788
Location Fax
(920) 497-0792
Mailing Address
840 WILLARD DR SUITE 201 GREEN BAY, WI 54304
Mailing Phone
(920) 497-0788
Mailing Fax
(920) 497-0792
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2007
Last Update Date
11-15-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
License No.
40554-020
License State
WI
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHERYL KAY ROTHERHAM M.S.

Authorized Official Title
OWNER/THERAPIST/PRESIDENT
Authorized Official Phone
(920) 497-0788

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063693273
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231296214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 9 + 6 + 2 + 1 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1063693273 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740334770 KENNAN F HORN M.S.W.,C.I.C.S.W
Individual
Marriage & Family Therapist840 WILLARD DR SUITE 201
GREEN BAY, WI 54304
(920) 497-0788
1386799328 WILLIAM BRADFORD LYLES M.D.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)840 WILLARD DR SUITE 201
GREEN BAY, WI 54304
(920) 497-0788
1578617502 CHERYL K ROTHERHAM M.S., L.C.S.W.
Individual
Marriage & Family Therapist840 WILLARD DR SUITE 102
GREEN BAY, WI 54304
(920) 497-0788

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063693273, enumerated in the NPI registry as an "organization" on November 15, 2007

The provider is located at 840 Willard Dr Suite 201 Green Bay, Wi 54304 and the phone number is (920) 497-0788

This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children Mental Health

This NPI record was last updated on November 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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