| Collaborative Solutions In Psychiatry, Sc | |
|
6515 Grand Teton Plz Ste 220 Madison WI 53719-1048 | |
| (608) 713-9898 | |
| (608) 713-9647 |
| Full Name | Collaborative Solutions In Psychiatry, Sc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6515 Grand Teton Plz Ste 220, Madison, Wisconsin |
| Authorized Official Name and Position | Sobia Kirmani-moe (OWNER) |
| Authorized Official Contact | 6087139898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Solutions In Psychiatry, Sc 6515 Grand Teton Plz Ste 220 Madison WI 53719-1048 Ph: (608) 713-9898 | Collaborative Solutions In Psychiatry, Sc 6515 Grand Teton Plz Ste 220 Madison WI 53719-1048 Ph: (608) 713-9898 |
| NPI Number | 1619352226 |
|---|---|
| Provider Enumeration Date | 07/24/2015 |
| Last Update Date | 04/25/2023 |
| Certification Date | 04/25/2023 |
| Medicare PECOS PAC ID | 6103131776 |
|---|---|
| Medicare Enrollment ID | O20150812007493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619352226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 57589-20 (Wisconsin) | Primary |
| Provider Name | Jantina R Vonk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396798914 PECOS PAC ID: 4981685153 Enrollment ID: I20040525001249 |
| Provider Name | Sobia Kirmani Moe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417184243 PECOS PAC ID: 8426297490 Enrollment ID: I20130624000401 |
| Provider Name | Amanda M Reda-goglio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063980845 PECOS PAC ID: 8022353325 Enrollment ID: I20181214000222 |
| Provider Name | Briann N Modos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396391728 PECOS PAC ID: 7618206202 Enrollment ID: I20190906001885 |
| Provider Name | Lauren E Seiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548817661 PECOS PAC ID: 5799108585 Enrollment ID: I20200713002317 |
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