| Madison Psychotherapy Associates, Inc. | |
|
1912 Atwood Ave Suite #5 Madison WI 53704-5461 | |
| (608) 251-0839 | |
| (608) 255-2752 |
| Full Name | Madison Psychotherapy Associates, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1912 Atwood Ave, Madison, Wisconsin |
| Authorized Official Name and Position | Rose Ghilardi (OFFICE MANAGER) |
| Authorized Official Contact | 6082510839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Psychotherapy Associates, Inc. 1912 Atwood Ave Suite #5 Madison WI 53704-5461 Ph: (608) 251-0839 | Madison Psychotherapy Associates, Inc. 1912 Atwood Ave Suite #5 Madison WI 53704-5461 Ph: (608) 251-0839 |
| NPI Number | 1295957512 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 12/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295957512 | NPI | - | NPPES |
| 42112900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1552 (Wisconsin) | Primary |
Nrrc, Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 N Blackhawk Ave, Suite 100, Madison, WI 53705 Phone: 608-616-0118 Fax: 608-663-5928 | |
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