| Compass Behavioral Health Clinic | |
|
1820 Center Ave Ste 170 Janesville WI 53546-2878 | |
| (608) 755-1475 | |
| (608) 755-1733 |
| Full Name | Compass Behavioral Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1820 Center Ave Ste 170, Janesville, Wisconsin |
| Authorized Official Name and Position | Shameeka Martin (ASSISTANT EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6087414500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Behavioral Health Clinic 203 W. Sunny Lane Road. Janesville WI 53546-9091 Ph: (608) 741-4500 | Compass Behavioral Health Clinic 1820 Center Ave Ste 170 Janesville WI 53546-2878 Ph: (608) 755-1475 |
| NPI Number | 1134306293 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 02/25/2021 |
| Certification Date | 02/25/2021 |
| Medicare PECOS PAC ID | 4082848072 |
|---|---|
| Medicare Enrollment ID | O20131007000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134306293 | NPI | - | NPPES |
| 42247900 | Medicaid | WI |
| Provider Name | Brian E Lochen |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1235119413 PECOS PAC ID: 1052389517 Enrollment ID: I20040922000518 |
| Provider Name | Steven Singer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598789331 PECOS PAC ID: 6406864545 Enrollment ID: I20060330000492 |
| Provider Name | Susan K Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225305758 PECOS PAC ID: 9931376787 Enrollment ID: I20130124000105 |
| Provider Name | Clark T Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962773648 PECOS PAC ID: 0749546844 Enrollment ID: I20171106001869 |
| Provider Name | Brandi M Lander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245301472 PECOS PAC ID: 2062405749 Enrollment ID: I20190124003044 |
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