| Madison Behavioral Health Consultants | |
|
2926 Bluff St Madison WI 53705-3421 | |
| (608) 318-3639 | |
| Not Available |
| Full Name | Madison Behavioral Health Consultants |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2926 Bluff St, Madison, Wisconsin |
| Authorized Official Name and Position | Jacob Austin (DIRECTOR) |
| Authorized Official Contact | 6083183639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Behavioral Health Consultants Po Box 5155 Madison WI 53705-0155 Ph: (608) 318-3639 | Madison Behavioral Health Consultants 2926 Bluff St Madison WI 53705-3421 Ph: (608) 318-3639 |
| NPI Number | 1912695073 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Medicare PECOS PAC ID | 7416319413 |
|---|---|
| Medicare Enrollment ID | O20230808001441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912695073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jacob B Austin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275866576 PECOS PAC ID: 4688809932 Enrollment ID: I20131023000459 |
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