Psychology Clinic Inc.

LBN: Psychology Clinic Inc.
Psychology Clinic Inc. is an health care organization with primary practice located at 310 N Midvale Blvd Ste 202 , Madison WI 53705-3265. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Psychology Clinic Inc. can be contacted via phone (608) 852-8585, or through Roethe, David via phone (608) 280-6486.

Contact Information

Primary practice address
310 N Midvale Blvd Ste 202 Madison WI 53705-3265
Phone: (608) 852-8585
Fax: (608) 238-1929
Website:
Map and Directions
Authorized official contact:
Name: Roethe, David PH.D.
Phone: (608) 280-6486

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 1919 Wisconsin

Profile Details

NPI number 1336222769
LBN Legal business name Psychology Clinic Inc.
DBA Doing business as
Authorized official Roethe, David PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2006
Last updated Oct 25th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336222769 NPPES
Wisconsin MEDICAID 42161100

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