Madison Psychotherapy Associates, Inc.
LBN: Madison Psychotherapy Associates, Inc.
Madison Psychotherapy Associates, Inc. is an health care organization with primary practice located at 1912 Atwood Ave Suite #5, Madison WI 53704-5461. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Madison Psychotherapy Associates, Inc. can be contacted via phone (608) 251-0839, or through Ghilardi, Rose via phone (608) 251-0839.
Contact Information
Primary practice address
1912 Atwood Ave Suite #5
Madison WI 53704-5461
Phone: (608) 251-0839
Fax: (608) 255-2752
Website:
Authorized official contact:
Name: Ghilardi, Rose Licensed Clinical Social Worker (LCSW)
Phone: (608) 251-0839
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 1552 | Wisconsin |
Profile Details
| NPI number | 1295957512 |
|---|---|
| LBN Legal business name | Madison Psychotherapy Associates, Inc. |
| DBA Doing business as | |
| Authorized official | Ghilardi, Rose Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Dec 3rd, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295957512 | NPPES |
| Wisconsin | MEDICAID | 42112900 |
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