| Midwest Associated Psychotherapy Center | |
|
7818 Big Sky Dr Suite 207 Madison WI 53719-3524 | |
| (608) 833-4990 | |
| (608) 826-9019 |
| Full Name | Midwest Associated Psychotherapy Center |
|---|---|
| Speciality | Social Worker |
| Location | 7818 Big Sky Dr, Madison, Wisconsin |
| Authorized Official Name and Position | Hal J Rosenberg (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6088334990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Associated Psychotherapy Center 7818 Big Sky Dr Suite 207 Madison WI 53719-3524 Ph: (608) 833-4990 | Midwest Associated Psychotherapy Center 7818 Big Sky Dr Suite 207 Madison WI 53719-3524 Ph: (608) 833-4990 |
| NPI Number | 1043381643 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2264609122 |
|---|---|
| Medicare Enrollment ID | O20120117000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043381643 | NPI | - | NPPES |
| 42217800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 934 (Wisconsin) | Primary |
| Provider Name | Harold Jay Rosenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710166434 PECOS PAC ID: 1254508112 Enrollment ID: I20120117000362 |
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