| Northland Community Services Inc | |
|
161 Spring St Westfield WI 53964 | |
| (608) 296-2139 | |
| (608) 296-1590 |
| Full Name | Northland Community Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 161 Spring St, Westfield, Wisconsin |
| Authorized Official Name and Position | Jon S Matthew (DIRECTOR) |
| Authorized Official Contact | 6082962139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northland Community Services Inc Po Box 248 Westfield WI 53964-0248 Ph: (608) 296-2139 | Northland Community Services Inc 161 Spring St Westfield WI 53964 Ph: (608) 296-2139 |
| NPI Number | 1215075296 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4981514387 |
|---|---|
| Medicare Enrollment ID | O20041202000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215075296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Charles J Hodulik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770517898 PECOS PAC ID: 1254233224 Enrollment ID: I20040121001120 |
| Provider Name | Joseph M Huber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962507160 PECOS PAC ID: 5991608218 Enrollment ID: I20040202000491 |
| Provider Name | Jon S Matthew |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598899197 PECOS PAC ID: 3971413378 Enrollment ID: I20060412000312 |
| Provider Name | Toni A Morgan-jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891829404 PECOS PAC ID: 0749305423 Enrollment ID: I20100917000935 |
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 | |
Northland Community Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Spring St, Westfield, WI 53964 Phone: 608-296-2139 Fax: 608-296-1590 |