Organization
CHILD & FAMILY THERAPEUTIC SYSTEMS S.C.
Active
Other names
Child & Family Therapeutic Systems
Organization subpart
No
Provider details
NPI number
Authorized official
CARYN BUB-STANDAL (PRESIDENT)
(414) 325-7741
Entity
Organization
Contact information
Practice address
4811 S 76TH ST, SUITE 401, GREENFIELD, WI 53220-4364
(414) 325-7741
(414) 325-7753
Mailing address
4811 S 76TH ST STE 305, GREENFIELD, WI 53220-4364
(414) 325-7741
(414) 325-7753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12701
WI
103TC0700X
Clinical Psychologist
594-057
WI
1041C0700X
Clinical Social Worker
2154-123
WI
1041C0700X
Clinical Social Worker
Primary
2532-123
WI
1041C0700X
Clinical Social Worker
2792-123
WI
106H00000X
Marriage & Family Therapist
186-124
WI
106H00000X
Marriage & Family Therapist
471-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42201100
—
WI
Enumeration date
12/01/2006
Last updated
09/26/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up