OrganizationActive
James D Wiedenhoeft Partnership
NPI 1396180261 · Adolescent and Children Mental Health Clinic/Center · Shiocton, WI
Provider details
- NPI number
- 1396180261
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ann Dake, Founder/Ceo(920) 986-3003
- License
- 1447-226 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
N5367 Mayflower Rd
Shiocton, WI 54170-8934
Phone: (920) 986-3003
Fax: (920) 986-3004
Street-level locationGet directions
Mailing address
N5367 Mayflower Rd
Shiocton, WI 54170-8934
Registry dates
- Enumerated
- 2013-05-06
- Last updated
- 2013-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.