| Madison Psychiatric Associates, Ltd. | |
|
5534 Medical Cir Madison WI 53719-1202 | |
| (608) 274-0355 | |
| Not Available |
| Full Name | Madison Psychiatric Associates, Ltd. |
|---|---|
| Speciality | Social Worker |
| Location | 5534 Medical Cir, Madison, Wisconsin |
| Authorized Official Name and Position | Paul H Miller (PRESIDENT) |
| Authorized Official Contact | 6082740355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Psychiatric Associates, Ltd. 5534 Medical Cir Madison WI 53719-1202 Ph: (608) 274-0355 | Madison Psychiatric Associates, Ltd. 5534 Medical Cir Madison WI 53719-1202 Ph: (608) 274-0355 |
| NPI Number | 1821026550 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1759286271 |
|---|---|
| Medicare Enrollment ID | O20031205000710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821026550 | NPI | - | NPPES |
| 140004007 | Other | WI | WEA |
| 407004 | Other | WI | DEAN HEALTH PLAN |
| 42106100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Michael N Sweetnam |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720095169 PECOS PAC ID: 8527151059 Enrollment ID: I20070829000619 |
| Provider Name | Jeffrey J Smarrella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770532442 PECOS PAC ID: 4183789431 Enrollment ID: I20090219000544 |
| Provider Name | Atit R Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801845672 PECOS PAC ID: 6103982905 Enrollment ID: I20090303000394 |
| Provider Name | Paul R Larson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124091749 PECOS PAC ID: 6901955640 Enrollment ID: I20090528000513 |
| Provider Name | Donal G Maccoon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841399573 PECOS PAC ID: 0941326458 Enrollment ID: I20100921001496 |
| Provider Name | Lawrence S Wolfinsohn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255344917 PECOS PAC ID: 9537150867 Enrollment ID: I20110208000714 |
| Provider Name | Brian A Vasey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124096086 PECOS PAC ID: 1355524042 Enrollment ID: I20110317000287 |
| Provider Name | Alan R Dimond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053576090 PECOS PAC ID: 4284877465 Enrollment ID: I20140320001265 |
| Provider Name | Jennifer A Yessa Kast |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619933496 PECOS PAC ID: 5193042570 Enrollment ID: I20150324000255 |
| Provider Name | Christen C Harer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033450481 PECOS PAC ID: 8224274527 Enrollment ID: I20160914001441 |
| Provider Name | Chloe J Perlis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679925036 PECOS PAC ID: 7517253693 Enrollment ID: I20160916000140 |
| Provider Name | Emily C Forscher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760967145 PECOS PAC ID: 6204170707 Enrollment ID: I20181211001845 |
| Provider Name | Emily Howell-little |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851650378 PECOS PAC ID: 7618100397 Enrollment ID: I20190222001546 |
| Provider Name | Allison A Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508342130 PECOS PAC ID: 9234554668 Enrollment ID: I20200803000987 |
| Provider Name | Kaitlyn M Mellom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871272609 PECOS PAC ID: 9830553585 Enrollment ID: I20230913002352 |
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