Janesville Psychiatric Clinic Main Inc

LBN: Janesville Psychiatric Clinic Main Inc
Janesville Psychiatric Clinic Main Inc is an health care organization with primary practice located at 15 W Milwaukee St Suite 206 & 207, Janesville WI 53548-2998. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Janesville Psychiatric Clinic Main Inc can be contacted via phone (608) 755-1475, or through Hollingsworth, William via phone (608) 755-1475.

Contact Information

Primary practice address
15 W Milwaukee St Suite 206 & 207 Janesville WI 53548-2998
Phone: (608) 755-1475
Fax: (608) 755-1733
Website:
Map and Directions
Authorized official contact:
Name: Hollingsworth, William
Phone: (608) 755-1475

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1448 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1448 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1448 Wisconsin
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1448 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1448 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1448 Wisconsin

Profile Details

NPI number 1659447704
LBN Legal business name Janesville Psychiatric Clinic Main Inc
DBA Doing business as
Authorized official Hollingsworth, William
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Nov 2nd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659447704 NPPES
Wisconsin MEDICAID 1659447704
Wisconsin MEDICAID 42123800
Wisconsin MEDICAID 43007200

Popular Providers