| Northland Community Services Inc | |
|
161 Spring St Westfield WI 53964-9068 | |
| (608) 296-2139 | |
| (608) 296-1590 |
| Full Name | Northland Community Services Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 161 Spring St, Westfield, Wisconsin |
| Authorized Official Name and Position | Jon S Matthew (DIRECTOR) |
| Authorized Official Contact | 6082962139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northland Community Services Inc 161 Spring St Po Box 248 Westfield WI 53964-9068 Ph: (608) 296-2139 | Northland Community Services Inc 161 Spring St Westfield WI 53964-9068 Ph: (608) 296-2139 |
| NPI Number | 1700839644 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700839644 | NPI | - | NPPES |
| 42119500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 822 (Wisconsin) | Primary |
Northland Community Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 161 Spring St, Westfield, WI 53964 Phone: 608-296-2139 Fax: 608-296-1590 | |
Northland Community Services Csp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Spring St, Westfield, WI 53964 Phone: 608-296-2139 | |
Northland Community Services Crisis Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Spring St, Westfield, WI 53964 Phone: 608-296-2139 |